Compounds for suppressing a peripheral nerve disorder induced by an anti-cancer agent

ABSTRACT

The present invention provides a medicament that suppresses (or mitigates) various neurological symptoms caused by a peripheral nerve disorder induced by an anti-cancer agent.

TECHNICAL FIELD

The present invention relates to a medicament that suppresses (ormitigates) various neurological symptoms (e.g., dysesthesia such asnumbness, pain and the like) due to peripheral nerve disorders inducedby anti-cancer agents.

BACKGROUND OF THE INVENTION

Neurological symptoms (e.g., dysesthesia such as numbness, pain and thelike) associated with the chemotherapy of cancer often pose problems incancer treatments. For example, a large variety of side effects such asnausea (vomiting), hair loss, anorexia, diarrhea, constipation, limbnumbness, pain, stomatitis, leucopenia and the like are known as theside effects of anti-cancer agents such as paclitaxel (taxol) and thelike. Among these side effects, neurological symptoms (e.g., dysesthesiasuch as numbness, pain and the like) caused by peripheral nervedisorders lack an effective improving method.

Acute symptoms of such peripheral nerve disorders include muscular painand neuralgia, and these symptoms accompany numbness and pain in thefingers and toes as the treatment proceeds. When the symptoms becomeserious, the quality of life (QOL) of patients is markedly degraded asevidenced by difficulty in using fingers skillfully, increased risk offall by difficulty in walking due to numb toes and the like.

At present, a medicament clinically effective for these neurologicalsymptoms is not available, and therefore, when these neurologicalsymptoms are developed during treatment with anti-cancer agents, eitherthe dosage of the anti-cancer agents is decreased, medication isdiscontinued, or medication is withdrawn. Even when the treatment isstopped, sequelae of continued neurological symptoms such as numbnessand the like often remain.

In view of the above, neurological symptoms (e.g., dysesthesia such asnumbness, pain and the like) by peripheral nerve disorders caused by theadministration of an anti-cancer agent form a dose limiting factor ofvarious anti-cancer agents, and the development of a therapeutic drugfor mitigating these neurological symptoms associated with a treatmentwith an anti-cancer agent has been desired (non-patent document 1 andnon-patent document 2).

While pain plays the most important role for biological defense, it isalso well known to bring an invasive severe pain represented by aneuropathic pain, which exceeds the level of its role and unnecessaryfor the body. The neuropathic pain is a severe pain that continues evenafter a complete cure of an injured tissue including peripheral andcentral nervous systems, which includes hyperalgesia in which even amild pain stimulation is felt as a severe pain, spontaneous painaccompanying uncomfortable dysesthesia, allodynia in which even a lightcontact stimulation that does not develop a pain in itself causes a painand the like.

It has long been unclear in which site such neuropathic pain isexpressed by what mechanism. However, some neuropathic pain animalmodels have been developed in recent years, and the elucidation of theonset mechanism thereof is ongoing. The representative models includethe spinal cord nerve ligation model by Kim and Chung (non-patentdocument 3), the sciatic nerve partial ligation model by Seltzer et al.(non-patent document 4), the model with gentle ligation of the sciaticnerve at several sites by Bennett et al. (non-patent document 5), themodel with ligation and cleavage of tibial nerve and whole sural nerve,leaving the sural nerve, by Decosterd and Woolf (non-patent document 6)and the like, all of which creates pathology similar to human chronicneuropathic pain by causing peripheral nerve disorders.

It has been clarified by the analysis of these animal models that thedevelopment of neuropathic pain includes one caused by changes in theperipheral nerve such as a sustained increase in the sensitivity orspontaneous firing and the like of the peripheral nerve starting from aperipheral nerve disorder (non-patent document 7), and one caused bychanges in the spinal cord or highest center (non-patent document 8).The changes in the spinal cord are caused by activation of microglia,and factors such as cytokine and the like produced and liberated fromthe activated microglia are considered to stimulate secondary neuron andenhance pain sensitivity.

It has been reported, moreover, that incidents similar to those inneuropathic pain model also occur in animal models of neurologicalsymptoms caused by the administration of an anti-cancer agent. That is,by the administration of an anti-cancer agent such as paclitaxel,vinblastine and the like, hyperalgesia occurs along with a peripheralnerve disorder (non-patent document 9), and microglia is activated inthe spinal cord (non-patent document 10). From the above, it isconsidered that the expression mechanism similar to that in neuropathicpain is also involved in the expression of neurological symptoms inhuman, which is due to peripheral nerve disorders caused by theadministration of an anti-cancer agent.

Patent document 1 describes that (i) a compound represented by theformula:

whereinR is an aliphatic hydrocarbon group optionally having substituent(s), anaromatic hydrocarbon group optionally having substituent(s), aheterocyclic group optionally having substituent(s), a group representedby the formula: —OR¹ wherein R¹ is a hydrogen atom or an aliphatichydrocarbon group optionally having substituent(s), or a grouprepresented by the formula:

wherein R^(1b) is a hydrogen atom or an aliphatic hydrocarbon groupoptionally having substituent(s), and R^(1c) is the same as or differentfrom R^(1b), a hydrogen atom or an aliphatic hydrocarbon groupoptionally having substituent(s),R⁰ is a hydrogen atom or an aliphatic hydrocarbon group, or R and R⁰ incombination form a bond,ring A is a cycloalkene substituted by 1 to 4 substituents selected from(1) an aliphatic hydrocarbon group optionally having substituent(s), (2)an aromatic hydrocarbon group optionally having substituent(s), (3) agroup represented by the formula: —OR¹¹ wherein R¹¹ is a hydrogen atomor an aliphatic hydrocarbon group optionally having substituent(s), and(4) a halogen atom,Ar is an aromatic hydrocarbon group optionally having substituent(s),a group represented by the formula:

is a group represented by the formula:

and n is an integer of 1 to 4, and(ii) a compound represented by the formula:

whereinR^(a) is an aliphatic hydrocarbon group optionally havingsubstituent(s), an aromatic hydrocarbon group optionally havingsubstituent(s), a heterocyclic group optionally having substituent(s), agroup represented by the formula: —OR^(1a) wherein R^(1a) is a hydrogenatom or an aliphatic hydrocarbon group optionally having substituent(s),or a group represented by the formula:

wherein R^(4a) and R^(5a) are the same or different and each is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s),R^(0a) is a hydrogen atom or an aliphatic hydrocarbon group, orR^(a) and R^(0a) in combination form a bond,Ar^(a) is an aromatic hydrocarbon group optionally having substituent(s),a group represented by the formula:

is a group represented by the formula:

and n is an integer of 1 to 4,a salt thereof and a prodrug thereof have a nitric oxide (NO)production-inhibiting effect and an inhibitory effect on the productionof inflammatory cytokines, such as TNF-α, IL-1, IL-6 and the like, andare useful as an agent for the prophylaxis or treatment of diseasesincluding cardiac diseases, autoimmune diseases, inflammatory diseases,central nervous system diseases, infectious diseases, sepsis, septicshock and the like; and

Patent document 2 describes that a compound represented by the formula:

whereinR¹ is an aliphatic hydrocarbon group optionally having substituent(s),an aromatic hydrocarbon group optionally having substituent(s), aheterocyclic group optionally having substituent(s), a group representedby the formula: —OR^(1a) wherein

R^(1a) is a hydrogen atom or an aliphatic hydrocarbon group optionallyhaving substituent(s), or a group represented by the formula:

wherein R^(1b) and R^(1c) are the same or different and each is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s),X is methylene, NH, a sulfur atom or an oxygen atom,Y is methylene optionally having substituent(s) or NH optionally havingsubstituent(s),ring A is a 5- to 8-membered ring optionally having 1 to 4 substituentsselected from the group consisting of (1) an aliphatic hydrocarbon groupoptionally having substituent(s), (2) an aromatic hydrocarbon groupoptionally having substituent(s), (3) a group represented by theformula: —OR² wherein R² is a hydrogen atom or an aliphatic hydrocarbongroup optionally having substituent(s), and (4) a halogen atom, Ar is anaromatic hydrocarbon group optionally having substituent(s),a group represented by the formula:

is a group represented by the formula:

m is an integer of 0 to 2,n is an integer of 1 to 3, andthe total of m and n is 4 or less;provided that when X is a methylene group, then Y should be a methylenegroup optionally having substituent(s),a salt thereof and a prodrug thereofhave a nitric oxide (NO) production-inhibiting effect and an inhibitoryeffect on the production of inflammatory cytokines, such as TNF-α, IL-1,IL-6 and the like, and are useful as an agent for the prophylaxis ortreatment of diseases including cardiac diseases, autoimmune diseases,inflammatory diseases, central nervous system diseases, infectiousdiseases, sepsis, septic shock and the like.

Patent document 11 describes that the compounds described in theabove-mentioned patent document 1 and/or patent document 2 have a TLR(particularly, TLR4) signal inhibitory action, and are useful as anagent for suppressing production or expression of a factor selected fromIL-2 (Interleukin-2), IL-3, IL-8, IL-10, IL-12, IL-17, MIP-2 (macrophageinflammatory protein-2), KC (keratinocyte derived-chemokine), GM-CSF(granulocyte-macrophage colony-stimulating factor), IFN (interferon)-γand prostaglandin E2 and the like, and the like.

Patent documents 3-13 describe that the compounds described in theabove-mentioned patent document 1 and/or patent document 2 can be usedfor the treatment of pain.

However, patent documents 1-13 do not describe that the compoundsdescribed in the above-mentioned patent document 1 and/or patentdocument 2 can suppress peripheral nerve disorders induced byanti-cancer agents.

DOCUMENT LIST Patent Documents

-   patent document 1: WO99/46242-   patent document 2: WO01/10826-   patent document 3: WO01/56562-   patent document 4: WO02/13816-   patent document 5: WO02/32859-   patent document 6: WO03/013513-   patent document 7: WO02/45750-   patent document 8: WO03/084527-   patent document 9: WO2006/118329-   patent document 10: WO2007/114296-   patent document 11: WO2007/123186-   patent document 12: WO2007/132825-   patent document 13: WO2008/004673

Non-Patent Documents

-   non-patent document 1: Beinert T, Masuhr F, Mwela E, Schweigert M,    Flath B, Harder H, et al. Neuropathy under chemotherapy. Eur J Med    Res 2000; 5: 415-23.-   non-patent document 2: Cavaliere R, Schiff D. Neurologic toxicities    of cancer therapies. Curr Neurol Neurosci Rep 2006; 6: 218-26.-   non-patent document 3: Kim S H, Chung J M. An experimental model for    peripheral neuropathy produced by segmental spinal nerve ligation in    the rat. Pain 1992; 50: 355-363.-   non-patent document 4: Seltzer Z, Dubner R, Shir Y. A novel    behavioral model of neuropathic pain disorders produced in rats by    partial sciatic nerve injury. Pain 1990; 43: 205-218.-   non-patent document 5: Bennett G J, Xei Y- K. A peripheral    mononeuropathy in rat that produces disorders of pain sensation like    those seen in man. Pain 1988; 33: 87-107.-   non-patent document 6: Decosterd I, Woolf C J. Spared nerve injury:    an animal model of persistent peripheral neuropathic pain. Pain    2000; 87: 149-158.-   non-patent document 7: Campbell, J. N. & Meyer, R. A. Mechanisms of    neuropathic pain. Neuron 2006; 52, 77-92.-   non-patent document 8: Scholz, J. & Woolf, C. J. The neuropathic    pain triad: neurons, immunocytes, and glia. Nature Neurosci. 2007;    10: 1361-1368.-   non-patent document 9: Siau C, Xiao W H, Bennett G J. Paclitaxel-    and vincristine-evoked painful peripheral neuropathies: loss of    epidermal innervation and activation of Langerhans cells. Exptl    Neurol 2006; 201: 507-514.-   non-patent document 10: Norikazu Kiguchi, Takehiko Maeda, Yuka    Kobayashi, Shiroh Kishioka. Up-regulation of tumor necrosis    factor-alpha in spinal cord contributes to vincristine-induced    mechanical allodynia in mice. Neuroscience Letters 2008; 445:    140-143.

SUMMARY OF THE INVENTION Problems to be Solved by the Invention

The present invention aims to provide a medicament for suppressing (ormitigating) neurological symptoms (e.g., dysesthesia such as numbness,pain and the like) due to peripheral nerve disorders which are one ofthe side effects caused by the administration of anti-cancer agents.

Means of Solving the Problems

The present inventors have conducted intensive studies in an attempt tosolve the aforementioned problems and found that the compoundsrepresented by the below-mentioned formula (I), formula (II) and formula(III) unexpectedly suppress (or mitigate) neurological symptoms ofperipheral nerve disorders caused by anti-cancer agents. Further studiesmade by the present inventors based on these findings have resulted inthe completion of the present invention.

Accordingly, the present invention relates to

[1] An agent for suppressing a peripheral nerve disorder induced by ananti-cancer agent, which comprises a compound represented by the formula(I):

wherein

R is

(1) an aliphatic hydrocarbon group optionally having substituent(s),(2) an aromatic hydrocarbon group optionally having substituent(s),(3) a heterocyclic group optionally having substituent(s),(4) a group represented by the formula: —OR¹ wherein R¹ is a hydrogenatom or an aliphatic hydrocarbon group optionally having substituent(s),or(5) a group represented by the formula:

wherein R^(1b) and R^(1c) are the same or different and each is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s),R⁰ is a hydrogen atom or an aliphatic hydrocarbon group, or R and R⁰ incombination may form a bond,ring A¹ is a cycloalkene optionally substituted by 1 to 4 substituentsselected from the group consisting of(i) an aliphatic hydrocarbon group optionally having substituent(s),(ii) an aromatic hydrocarbon group optionally having substituent(s),(iii) a group represented by the formula: —OR¹¹ wherein R¹¹ is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s), and(iv) a halogen atom,Ar is an aromatic hydrocarbon group optionally having substituent(s),a group represented by the formula:

is a group represented by the formula:

and n is an integer of 1 to 4,or a salt thereof or a prodrug thereof, ora compound represented by the formula (II):

wherein

R^(1′) is

(1) an aliphatic hydrocarbon group optionally having substituent(s),(2) an aromatic hydrocarbon group optionally having substituent(s),(3) a heterocyclic group optionally having substituent(s),(4) a group represented by the formula: —OR^(1a′) wherein R^(1′) is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s), or(5) a group represented by the formula:

wherein R^(1b′) and R^(1c′) are the same or different and each is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s),X is methylene, NH, a sulfur atom or an oxygen atom,Y is methylene optionally having substituent(s) or NH optionally havingsubstituent(s),ring A′ is a 5- to 8-membered ring optionally having 1 to 4 substituentsselected from the group consisting of(i) an aliphatic hydrocarbon group optionally having substituent(s),(ii) an aromatic hydrocarbon group optionally having substituent(s),(iii) a group represented by the formula: —OR^(2′) wherein R^(2′) is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s), and(iv) a halogen atom,Ar′ is an aromatic hydrocarbon group optionally having substituent (s),a group represented by the formula:

is a group represented by the formula:

s is an integer of 0 to 2,t is an integer of 1 to 3, andthe total of s and t is 4 or less;provided that when X is methylene, then Y should be methylene optionallyhaving substituent(s),or a salt thereof or a prodrug thereof;[2] an agent for suppressing a peripheral nerve disorder induced by ananti-cancer agent, comprising a compound represented by the formula(III):

wherein R^(1aa) is C₁₋₆ alkyl,X^(aa) is methylene or an oxygen atom, andAr^(aa) is phenyl optionally having 1 or 2 substituents selected from ahalogen atom, C₁₋₆ alkyl and C₁₋₆ alkoxy, or a salt thereof or a prodrugthereof;[3] the agent of the above-mentioned [1] or [2], comprising ethyl(6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylateor a salt thereof or a prodrug thereof;[4] the agent of the above-mentioned [1] or [2], comprising ethyl(3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylateor a salt thereof or a prodrug thereof;[5] the agent of the above-mentioned [1] or [2], wherein the anti-canceragent is selected from paclitaxel, docetaxel, vincristine, cisplatin,carboplatin and bortezomib;[5a] the agent of the above-mentioned [1] or [2], wherein theanti-cancer agent is selected from paclitaxel, vincristine, cisplatin,carboplatin and bortezomib;[6] the agent of the above-mentioned [5], wherein the anti-cancer agentis paclitaxel.

Effect of the Invention

According to the present invention, neurological symptoms (e.g.,dysesthesia such as numbness, pain and the like) due to peripheral nervedisorders which are one of the side effects caused by the administrationof an anti-cancer agent can be suppressed (or mitigated).

In addition, according to the present invention, a decrease in thedosage due to the side effects of the administration of an anti-canceragent can be avoided.

According to the present invention, moreover, a treatment at a highdose, which has been impossible heretofore, can be enabled bycontrolling the side effects of the administration of an anti-canceragent.

According to the present invention, moreover, a long-term treatment withan anti-cancer agent, while maintaining the QOL of patients, can beenabled by controlling the side effects of the administration of ananti-cancer agent.

DETAILED DESCRIPTION OF THE INVENTION

The compound represented by the formula (I) is explained.

(1) an aliphatic hydrocarbon group optionally having substituent(s),(2) an aromatic hydrocarbon group optionally having substituent(s),(3) a heterocyclic group optionally having substituent(s),(4) a group represented by the formula: —OR¹ wherein R¹ is a hydrogenatom or an aliphatic hydrocarbon group optionally having substituent(s),or(5) a group represented by the formula:

wherein R^(1b) and R^(1c) are the same or different and each is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s), or R and R⁰ in combination form a bond, with particularpreference given to the group represented by the formula: —OR¹ whereinR¹ is as defined above.

R⁰ is a hydrogen atom or an aliphatic hydrocarbon group.

When R and R⁰ in combination form a bond, the compound represented bythe formula (I) can be represented by the formula:

wherein each symbol is as defined above, and specifically can berepresented by the formula:

wherein each symbol is as defined above, or

wherein each symbol is as defined above.

When R is a group represented by the formula: —OR¹ wherein R¹ is asdefined above, the compound represented by the formula (I) can berepresented by the formula:

wherein R² is a hydrogen atom or an aliphatic hydrocarbon group, andother symbols are as defined above, and specifically can be representedby the formula:

wherein each symbol is as defined above, or

wherein each symbol is as defined above.

As the compound represented by the formula (I), a compound representedby the formula (Icc) or the formula (Inn) is preferable.

As the “aliphatic hydrocarbon group” of the “aliphatic hydrocarbon groupoptionally having substituent(s)” for R, R¹, R¹¹, R^(1b) or R^(1c) andthe “aliphatic hydrocarbon group” for R⁰ or R², for example, alkyl,cycloalkyl, cycloalkylalkyl, alkenyl, alkynyl, etc. are preferable.

As alkyl, for example, linear or branched alkyl having 1 to 20 carbonatoms (e.g., methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl,sec-butyl, tert-butyl, pentyl, hexyl, heptyl, octyl, nonyl, decyl,dodecyl) and the like are preferable, and particularly, for example,lower alkyl having 1 to 6 carbon atoms (e.g., methyl, ethyl, n-propyl,isopropyl, n-butyl, isobutyl, sec-butyl, tert-butyl) and the like arepreferable.

As cycloalkyl, for example, cycloalkyl having a carbon number of 3 to 10(e.g., cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl,cyclooctyl) and the like are preferable and, in particular, for example,cycloalkyl having a carbon number of 3 to 6 (e.g., cyclopropyl,cyclobutyl, cyclopentyl, cyclohexyl) and the like are preferable.

As cycloalkylalkyl, for example, cycloalkylalkyl having a carbon numberof 4 to 12 (e.g., cyclopropylmethyl, cyclopentylmethyl,cyclohexylmethyl, cycloheptylmethyl) and the like are preferable and, inparticular, for example, cycloalkylalkyl having a carbon number 4 to 8(particularly 4 to 7) (e.g., cyclopropylmethyl, cyclopentylmethyl,cyclohexylmethyl) and the like are preferable.

As alkenyl, for example, lower alkenyl having a carbon number of 3 to 6(e.g., propenyl, butenyl, pentenyl) and the like are preferable and, inparticular, for example, lower alkenyl having a carbon number of 3 or 4(e.g., propenyl, butenyl) and the like are preferable.

As alkynyl, for example, lower alkynyl having a carbon number of 3 to 6(e.g., propynyl, butynyl, pentynyl) and the like are preferable and, inparticular, for example, lower alkynyl having a carbon number of 3 or 4(e.g., propynyl, butynyl) and the like are preferable.

As the “substituent” of the aforementioned “aliphatic hydrocarbon groupoptionally having substituent(s)”, for example,

(1) a heterocyclic group,(2) an oxo group,(3) hydroxy,(4) C₁₋₆ alkoxy,(5) C₃₋₁₀ (particularly C₃₋₆) cycloalkyloxy,(6) C₆₋₁₀ aryloxy,(7) C₇₋₁₉ (particularly C₇₋₁₂) aralkyloxy,(8) heterocyclyloxy,(9) C₁₋₆ alkylthio (the sulfur atom is optionally oxidized),(10) C₃₋₁₀ (particularly C₃₋₆) cycloalkylthio (the sulfur atom isoptionally oxidized),(11) C₆₋₁₀ arylthio (the sulfur atom is optionally oxidized),(12) C₇₋₁₉ (particularly C₇₋₁₂) aralkylthio (the sulfur atom isoptionally oxidized),(13) heterocyclylthio,(14) heterocyclylsulfinyl,(15) heterocyclylsulfonyl,(16) nitro,(17) a halogen atom,(18) cyano,(19) carboxy,(20) C₁₋₁₀ (particularly C₁₋₆) alkoxy-carbonyl,(21) C₃₋₆ cycloalkyloxy-carbonyl,(22) C₆₋₁₀ aryloxy-carbonyl,(23) C₇₋₁₉ (particularly C₇₋₁₂) aralkyloxy-carbonyl,(24) heterocyclyloxycarbonyl,(25) C₆₋₁₀ aryl-carbonyl,(26) C₁₋₆ alkanoyl,(27) C₃₋₅ alkenoyl,(28) C₆₋₁₀ aryl-carbonyloxy,(29) C₂₋₆ alkanoyloxy,(30) C₃₋₅ alkenoyloxy,(31) carbamoyl optionally having substituent(s),(32) thiocarbamoyl optionally having substituent(s),(33) carbamoyloxy optionally having substituent(s),(34) C₁₋₆ alkanoylamino,(35) C₆₋₁₀ aryl-carbonylamino,(36) C₁₋₁₀ (particularly C₁₋₆) alkoxy-carboxamido,(37) C₆₋₁₀ aryloxy-carboxamido,(38) C₇₋₁₉ (particularly C₇₋₁₂) aralkyloxy-carboxamido,(39) C₁₋₁₀ (particularly C₁₋₆) alkoxy-carbonyloxy,(40) C₆₋₁₀ aryloxy-carbonyloxy,(41) C₇₋₁₉ (particularly C₇₋₁₂) aralkyloxy-carbonyloxy,(42) C₃₋₁₀ (particularly C₃₋₆) cycloalkyloxy-carbonyloxy,(43) ureido optionally having substituent(s),(44) C₆₋₁₀ aryl optionally having substituent(s)and the like are used.

These substituents are substituted at substitutable positions of theaforementioned “aliphatic hydrocarbon group”. They are not limited to asingle substituent, but may be the same or different, and more than onesubstituent (preferably 2 to 4) may be used.

As “C₁₋₆ alkoxy”, for example, methoxy, ethoxy, n-propoxy, isopropoxy,n-butoxy, tert-butoxy, n-pentyloxy, n-hexyloxy and the like are used.

As “C₃₋₁₀ cycloalkyloxy”, for example, cyclopropyloxy, cyclohexyloxy andthe like are used.

As “C₆₋₁₀ aryloxy”, for example, phenoxy, naphthyloxy and the like areused.

As “C₇₋₁₉ aralkyloxy”, for example, benzyloxy, 1-phenylethyloxy,2-phenylethyloxy, benzhydryloxy, 1-naphthylmethyloxy and the like areused.

As “C₁₋₆ alkylthio (the sulfur atom is optionally oxidized)”, forexample, methylthio, ethylthio, n-propylthio, n-butylthio,methylsulfinyl, methylsulfonyl and the like are used.

As “C₃₋₁₀ cycloalkylthio (the sulfur atom is optionally oxidized)”, forexample, cyclopropylthio, cyclohexylthio, cyclopentylsulfinyl,cyclohexylsulfonyl and the like are used.

As “C₆₋₁₀ arylthio (the sulfur atom is optionally oxidized)”, forexample, phenylthio, naphthylthio, phenylsulfinyl, phenylsulfonyl andthe like are used.

As “C₇₋₁₉ aralkylthio (the sulfur atom is optionally oxidized)”, forexample, benzylthio, phenylethylthio, benzhydrylthio, benzylsulfinyl,benzylsulfonyl and the like are used.

As the “halogen atom”, for example, a fluorine atom, a chlorine atom, abromine atom and an iodine atom are used.

As “C₁₋₁₀ alkoxy-carbonyl”, for example, methoxycarbonyl,ethoxycarbonyl, n-propoxycarbonyl, isopropoxycarbonyl, n-butoxycarbonyl,isobutoxycarbonyl, tert-butoxycarbonyl and the like are used.

As “C₃₋₆ cycloalkyloxy-carbonyl”, for example, cyclopropyloxycarbonyl,cyclopentyloxycarbonyl, cyclohexyloxycarbonyl and the like are used.

As “C₆₋₁₀ aryloxy-carbonyl”, for example, phenoxycarbonyl,naphthyloxycarbonyl and the like are used.

As “C₇₋₁₉ aralkyloxy-carbonyl”, for example, benzyloxycarbonyl,benzhydryloxycarbonyl, 2-phenethyloxycarbonyl and the like are used.

As “C₆₋₁₀ aryl-carbonyl”, for example, benzoyl group, naphthoyl groupand the like are used.

As “C₁₋₆ alkanoyl”, for example, formyl, acetyl, propionyl, butyrylgroup, valeryl group, pivaloyl group and the like are used.

As “C₃₋₅ alkenoyl”, for example, acryloyl, crotonoyl and the like areused, as the “C₆₋₁₀ aryl-carbonyloxy”, for example, benzoyloxy,naphthoyloxy and the like are used.

As “C₂₋₆ alkanoyloxy”, for example, acetoxy, propionyloxy, butyryloxy,valeryloxy, pivaloyloxy and the like are used.

As “C₃₋₅ alkenoyloxy”, for example, acryloyloxy, crotonoyloxy and thelike are used.

As “carbamoyl optionally having substituent(s)”, for example, carbamoylor cyclic amino (e.g., pyrrolidinyl, piperidinyl, piperazinyl,morpholinyl)carbonyl or the like, which is optionally substituted by oneor the same or different two substituents selected from

(i) C₁₋₄ alkyl (e.g., methyl, ethyl),

(ii) phenyl,

(iii) C₁₋₇ acyl (e.g., acetyl, propionyl, benzoyl),

(iv) C₁₋₄ alkoxy-phenyl (e.g., methoxyphenyl), and the like is used, andspecifically, for example, carbamoyl, N-methylcarbamoyl,N-ethylcarbamoyl, N,N-dimethylcarbamoyl, N,N-diethylcarbamoyl,N-phenylcarbamoyl, N-acetylcarbamoyl, N-benzoylcarbamoyl,N-(p-methoxyphenyl)carbamoyl, 1-pyrrolidinylcarbonyl,piperidinocarbonyl, 1-piperazinylcarbonyl, morpholinocarbonyl and thelike are used.

As “thiocarbamoyl optionally having substituent(s)”, thiocarbamoyloptionally substituted by one or the same or different two substituentsselected from

(i) C₁₋₄ alkyl (e.g., methyl, ethyl),

(ii) phenyl, and the like is used, and specifically, for example,thiocarbamoyl, N-methylthiocarbamoyl, N-phenylthiocarbamoyl and the likeare used.

As “carbamoyloxy optionally having substituent(s)”, for example,carbamoyloxy optionally substituted by one or the same or different twosubstituents selected from

(i) C₁₋₄ alkyl (e.g., methyl, ethyl),

(ii) phenyl, and the like are used, and specifically, for example,carbamoyloxy, N-methylcarbamoyloxy, N,N-dimethylcarbamoyloxy,N-ethylcarbamoyloxy, N-phenylcarbamoyloxy and the like are used.

As “C₁₋₆ alkanoylamino”, for example, an acetamido group, a propionamidogroup, a butyramido group, a valeramido group, a pivalamido group andthe like are used.

As “C₆₋₁₀ aryl-carbonylamino”, for example, a benzamido group, anaphthamido group, a phthalimido group and the like are used.

As “C₁₋₁₀ alkoxy-carboxamido”, for example, methoxycarboxamido(CH₃OCONH—), ethoxycarboxamido, tert-butoxycarboxamido and the like areused.

As “C₆₋₁₀ aryloxy-carboxamido”, for example, phenoxycarboxamido(C₆H₅OCONH—) and the like are used.

As “C₇₋₁₉ aralkyloxy-carboxamido”, for example, benzyloxycarboxamido(C₆H₅CH₂OCONH—), benzhydryloxycarboxamido and the like are used.

As “C₁₋₁₀ alkoxy-carbonyloxy”, for example, methoxycarbonyloxy,ethoxycarbonyloxy, n-propoxycarbonyloxy, isopropoxycarbonyloxy,n-butoxycarbonyloxy, tert-butoxycarbonyloxy, n-pentyloxycarbonyloxy,n-hexyloxycarbonyloxy and the like are used.

As “C₆₋₁₀ aryloxy-carbonyloxy”, for example, phenoxycarbonyloxy,naphthyloxycarbonyloxy and the like are used.

As “C₇₋₁₉ aralkyloxy-carbonyloxy”, for example, benzyloxycarbonyloxy,1-phenylethyloxycarbonyloxy, 2-phenylethyloxycarbonyloxy,benzhydryloxycarbonyloxy and the like are used.

As “C₃₋₁₀ cycloalkyloxy-carbonyloxy”, for example,cyclopropyloxycarbonyloxy, cyclohexyloxycarbonyloxy and the like areused.

As “ureido optionally having substituent(s)”, for example, ureidooptionally substituted by 1 to 3 (particularly 1 or 2) substituentsselected from

(i) C₁₋₄ alkyl (e.g., methyl, ethyl),

(ii) phenyl, and the like is used and, for example, ureido,1-methylureido, 3-methylureido, 3,3-dimethylureido, 1,3-dimethylureido,3-phenylureido and the like are used. When two or more substituents arepresent, they may be the same or different.

When a heterocyclic group, heterocyclyloxy, heterocyclylthio,heterocyclylsulfinyl, heterocyclylsulfonyl or heterocyclyloxycarbonyl isused as the “substituent” of the “aliphatic hydrocarbon group optionallyhaving substituent(s)”, the heterocyclic group is a group obtained byremoving one hydrogen atom bonded to the heterocycle, which is, forexample, a 5- to 8-membered ring (particularly 5- or 6-membered ring)group containing 1 to several, preferably 1 to 4, hetero atoms such as anitrogen atom (optionally oxidized), an oxygen atom, a sulfur atom andthe like, or a fused ring group thereof. As such heterocyclic group,pyrrolyl, pyrazolyl, imidazolyl, 1,2,3-triazolyl, 1,2,4-triazolyl,tetrazolyl, furyl, thienyl, oxazolyl, isoxazolyl, 1,2,3-oxadiazolyl,1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, thiazolyl,isothiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl,1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, pyridyl, pyridazinyl,pyrimidinyl, pyrazinyl, indolyl, pyranyl, thiopyranyl, dioxinyl,dioxolyl, quinolyl, pyrido[2,3-d]pyrimidyl, 1,5-, 1,6-, 1,7-, 1,8-, 2,6-or 2,7-naphthyridyl, thieno[2,3-d]pyridyl, benzopyranyl,tetrahydrofuryl, tetrahydropyranyl, dioxolanyl, dioxanyl and the likeare used.

These heterocyclic groups may be substituted at substitutable positionsby 1 to 3 substituents selected from

(i) a C₁₋₄ alkyl (e.g., methyl, ethyl),(ii) a hydroxy,(iii) an oxo,(iv) a C₁₋₄ alkoxy (e.g., methoxy, ethoxy, etc.), and the like. When twoor more substituents are present, they may be the same or different.

As “C₆₋₁₀ aryl” of the “C₆₋₁₀ aryl optionally having substituent(s)”,for example, phenyl, naphthyl, etc. can be used. The C₆₋₁₀ aryl may besubstituted at a substitutable position by a substituent selected fromthose exemplified as the “substituent” (except for C₆₋₁₀ aryl optionallyhaving substituent(s)) of the “aliphatic hydrocarbon group optionallyhaving substituent(s)” described above. Such substituent is not limitedto a single substituent, but the same or different, more than one(preferably 2 to 4) substituents may be used.

In the “aliphatic hydrocarbon group optionally having substituent(s)”,the substituent may form, together with the aliphatic hydrocarbon group,an optionally substituted fused ring group, and as such fused ringgroup, indanyl, 1,2,3,4-tetrahydronaphthyl, etc. can be used. This fusedring group may be substituted at a substitutable position by asubstituent selected from those exemplified as the “substituent” of the“aliphatic hydrocarbon group optionally having substituent(s)” describedabove. Such substituent substitutes at a substitutable position of thefused ring group, wherein the substituent is not limited to a singlesubstituent, but the same or different, more than one (preferably 2 to4) substituents may be used.

Among the above-mentioned “aliphatic hydrocarbon groups optionallyhaving substituent(s)”, preferable examples of R, R¹, R¹¹, R^(1b) andR^(1c) include lower alkyl having a carbon number of 1 to 6 which mayhave substituent(s) (e.g., methyl, ethyl, n-propyl, isopropyl, n-butyl,isobutyl, tert-butoxycarbonylmethyl, hydroxyethyl, phenylmethyl,carboxymethyl) and the like. Particularly, for example, C₁₋₆ alkyl suchas methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl and the likeare preferable, methyl, ethyl, n-propyl and the like are morepreferable, and ethyl and the like are particularly preferable.

As the “aromatic hydrocarbon group” of the “aromatic hydrocarbon groupoptionally having substituent(s)” for R, an aromatic hydrocarbon grouphaving a carbon number of 6 to 14 (e.g., phenyl, naphthyl, anthryl,indenyl) and the like are preferable. In particular, for example, arylhaving a carbon number of 6 to 10 (e.g., phenyl, naphthyl) and the likeare preferable, and of these, phenyl and the like are particularlypreferable.

As the “substituent” of the “aromatic hydrocarbon group optionallyhaving substituent(s)” for R,

(1) a halogen atom (e.g., a fluorine atom, a chlorine atom, a bromineatom, an iodine atom),(2) lower (C₁₋₄) alkyl (e.g., methyl, ethyl, propyl, butyl),(3) lower (C₁₋₄) alkoxy (e.g., methoxy, ethoxy, propoxy, butoxy),(4) lower (C₁₋₄) alkoxy-carbonyl (e.g., methoxycarbonyl, ethoxycarbonyl,propoxycarbonyl, butoxycarbonyl),(5) carboxy,(6) nitro,(7) cyano,(8) hydroxy,(9) acylamino (e.g., alkanoylamino having a carbon number of 1 to 4 suchas acetylamino, propionylamino, butyrylamino and the like),(10) cycloalkyl having a carbon number of 3 to 6 (e.g., cyclopropyl,cyclopentyl),(11) aryl having a carbon number of 6 to 10 (e.g., phenyl, naphthyl,indenyl),(12) halogeno lower (C₁₋₄) alkyl (e.g., trifluoromethyl,trifluoroethyl),(13) halogeno lower (C₁₋₄) alkoxy (e.g., trifluoromethoxy,1,1,2,2-tetrafluoroethoxy, 2,2,3,3,3-pentafluoropropoxy),(14) lower (C₁₋₄) alkylthio (e.g., methylthio, ethylthio, propylthio),(15) lower (C₁₋₄) alkanesulfonyl (e.g., methanesulfonyl, ethanesulfonyl,propanesulfonyl),(16) lower (C₁₋₄) alkanoyl (e.g., formyl, acetyl, propionyl),(17) a 5-membered aromatic heterocyclic group (e.g., 1,2,3-triazolyl,1,2,4-triazolyl, tetrazolyl, thiazolyl, isothiazolyl, oxazolyl,isoxazolyl, thiadiazolyl, thienyl, furyl),(18) carbamoyl, lower (C₁₋₄) alkyl-carbamoyl (e.g., methylcarbamoyl,dimethylcarbamoyl, propylcarbamoyl),(19) lower (C₁₋₄) alkoxy-carbonyl-lower (C₁₋₄) alkyl-carbamoyl (e.g.,butoxycarbonylmethylcarbamoyl, ethoxycarbonylmethylcarbamoyl),(20) 1,3-diacylguanidino-lower (C₁₋₄) alkyl (e.g.,1,3-diacetylguanidinomethyl,1,3-bis-(tert-butoxycarbonyl)guanidinomethyl)and the like are used. Preferably, a halogen atom (e.g., a fluorineatom, a chlorine atom, a bromine atom, an iodine atom), lower (C₁₋₄)alkyl (e.g., methyl, ethyl, propyl, butyl) and the like are used. Morepreferably, a fluorine atom, a chlorine atom and methyl are used.

These substituents substitute at substitutable positions of the aromatichydrocarbon group, and the number of the substituents is preferably 1 to5, more preferably 1 to 3, most preferably 1 or 2. When two or more ofsuch substituents are present, they may be the same or different.

The “heterocyclic group” of the “heterocyclic group optionally havingsubstituent(s)” for R is, for example, a 5 to 8-membered ring(particularly a 5 or 6-membered ring) group containing 1 to several,preferably 1 to 4, hetero atoms such as nitrogen atom (optionallyoxidized), oxygen atom, sulfur atom and the like, and a fused ring groupthereof. As such heterocyclic group, pyrrolyl, pyrazolyl, imidazolyl,1,2,3-triazolyl, 1,2,4-triazolyl, tetrazolyl, furyl, thienyl, oxazolyl,isoxazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl,1,3,4-oxadiazolyl, thiazolyl, isothiazolyl, 1,2,3-thiadiazolyl,1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, pyridyl,pyridazinyl, pyrimidinyl, pyrazinyl, indolyl, pyranyl, thiopyranyl,dioxinyl, dioxolyl, quinolyl, pyrido[2,3-d]pyrimidyl, 1,5-, 1,6-, 1,7-,1,8-, 2,6- or 2,7-naphthyridyl, thieno[2,3-d]pyridyl, benzopyranyl,tetrahydrofuryl, tetrahydropyranyl, dioxolanyl, dioxanyl and the likeare used.

These heterocyclic groups are optionally substituted by 1 to 3substituents selected from C₁₋₄ alkyl (e.g., methyl, ethyl), hydroxy,oxo, C₁₋₄ alkoxy (e.g., methoxy, ethoxy) and the like at substitutablepositions. When two or more substituents are present, they may be thesame or different.

Preferable examples of the above-mentioned “aliphatic hydrocarbon group”for R⁰ or R² include lower alkyl having a carbon number of 1 to 6 (e.g.,methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl,tert-butoxycarbonylmethyl, hydroxyethyl) and the like. Of these, forexample, C₁₋₆ alkyl such as methyl, ethyl, n-propyl, isopropyl, n-butyl,isobutyl and the like is preferable. For example, methyl, ethyl,n-propyl and the like are more preferable, and methyl and the like areparticularly preferable.

As R⁰ or R², in particular, a hydrogen atom and methyl are preferable.

As the “aromatic hydrocarbon group” of the “aromatic hydrocarbon groupoptionally having substituent(s)” for Ar, an aromatic hydrocarbon grouphaving a carbon number of 6 to 14 (e.g., phenyl, naphthyl, anthryl,indenyl) and the like are preferable. In particular, for example, arylhaving a carbon number of 6 to 10 (e.g., phenyl, naphthyl) and the likeare preferable. Of these, phenyl and the like are particularlypreferable.

As the “substituent” of the “aromatic hydrocarbon group optionallyhaving substituent(s)” for Ar,

(1) a halogen atom (e.g., a fluorine atom, a chlorine atom, a bromineatom, an iodine atom),(2) lower (C₁₋₄) alkyl (e.g., methyl, ethyl, propyl, isopropyl, butyl),(3) lower (C₁₋₄) alkoxy (e.g., methoxy, ethoxy, propoxy, butoxy),(4) lower (C₁₋₄) alkoxy-carbonyl (e.g., methoxycarbonyl, ethoxycarbonyl,propoxycarbonyl, butoxycarbonyl),(5) carboxy,(6) nitro,(7) cyano,(8) hydroxy,(9) acylamino (e.g., alkanoylamino having a carbon number of 1 to 4 suchas acetylamino, propionylamino, butyrylamino and the like),(10) cycloalkyl having a carbon number of 3 to 6 (e.g., cyclopropyl,cyclopentyl),(11) aryl having a carbon number of 6-10 (e.g., phenyl, naphthyl,indenyl),(12) halogeno lower (C₁₋₄) alkyl (e.g., trifluoromethyl,trifluoroethyl),(13) halogeno lower (C₁₋₄) alkoxy (e.g., trifluoromethoxy,1,1,2,2-tetrafluoroethoxy, 2,2,3,3,3-pentafluoropropoxy),(14) lower (C₁₋₄) alkylthio (e.g., methylthio, ethylthio, propylthio),(15) lower (C₁₋₄) alkanesulfonyl (e.g., methanesulfonyl, ethanesulfonyl,propanesulfonyl),(16) lower (C₁₋₄) alkanoyl (e.g., formyl, acetyl, propionyl),(17) a 5-membered aromatic heterocyclic group (e.g., 1,2,3-triazolyl,1,2,4-triazolyl, tetrazolyl, thiazolyl, isothiazolyl, oxazolyl,isoxazolyl, thiadiazolyl, thienyl, furyl),(18) carbamoyl,(19) lower (C₁₋₄) alkyl-carbamoyl (e.g., methylcarbamoyl,dimethylcarbamoyl, propionylcarbamoyl),(20) lower (C₁₋₄) alkoxy-carbonyl-lower (C₁₋₄) alkyl-carbamoyl (e.g.,butoxycarbonylmethylcarbamoyl, tert-butoxycarbonylmethylcarbamoyl,ethoxycarbonylmethylcarbamoyl),(21) 1,3-diacylguanidino-lower (C₁₋₄) alkyl (e.g.,1,3-diacetylguanidinomethyl,1,3-bis-(tert-butoxycarbonyl)guanidinomethyl)and the like are used. Preferably, a halogen atom (e.g., a fluorineatom, a chlorine atom, a bromine atom, an iodine atom), lower (C₁₋₄)alkyl (e.g., methyl, ethyl, propyl, butyl) and the like are used. Morepreferably, a fluorine atom, a chlorine atom and methyl are used.

These substituents substitute at substitutable positions of the aromatichydrocarbon group, and the number of the substituents is preferably 1 to5, more preferably 1 to 3, most preferably 1 or 2. When two or more ofsuch substituents are present, they may be the same or different.

As Ar, specifically for example, phenyl, halogenophenyl, lower (C₁₋₄)alkylphenyl, lower (C₁₋₄) alkoxyphenyl, lower (C₁₋₄)alkoxy-carbonylphenyl, carboxyphenyl, nitrophenyl, cyanophenyl, halogenolower (C₁₋₄) alkylphenyl, halogeno lower (C₁₋₄) alkoxyphenyl, lower(C₁₋₄) alkanoylphenyl, phenyl substituted by a 5-membered aromaticheterocyclic group, lower (C₁₋₄) alkoxy-carbonyl-lower (C₁₋₄)alkyl-carbamoylphenyl, 1,3-diacylguanidino-lower (C₁₋₄) alkylphenyl,phenyl substituted by a halogen atom and lower (C₁₋₄) alkyl, phenylsubstituted by a halogen atom and lower (C₁₋₄) alkoxy-carbonyl, phenylsubstituted by a halogen atom and cyano, phenyl substituted by a halogenatom and 5-membered aromatic heterocycle, phenyl substituted by ahalogen atom and lower (C₁₋₄) alkoxy-carbonyl-lower (C₁₋₄)alkyl-carbamoyl and the like are used.

As Ar, phenyl optionally having substituent(s) is preferable.Particularly, halogenophenyl, lower (C₁₋₄) alkylphenyl, phenylsubstituted by a halogen atom and lower (C₁₋₄) alkoxycarbonyl, phenylsubstituted by a halogen atom and lower (C₁₋₄) alkyl and the like arepreferably used.

As Ar, a group represented by the formula:

wherein R⁴ and R⁵ are the same or different and each is a halogen atomor lower (C₁₋₄) alkyl, and n is an integer of 0 to 2, is morepreferable, and one wherein at least one of R⁴ and R⁵ is a halogen atomis further preferable.

As the halogen atom for R⁴ or R⁵, a fluorine atom or a chlorine atom ispreferable.

As halogenophenyl, for example, 2,3-difluorophenyl, 2,3-dichlorophenyl,2,4-difluorophenyl, 2,4-dichlorophenyl, 2,5-difluorophenyl,2,5-dichlorophenyl, 2,6-difluorophenyl, 2,6-dichlorophenyl,3,4-difluorophenyl, 3,4-dichlorophenyl, 3,5-difluorophenyl,3,5-dichlorophenyl, 2-fluorophenyl, 2-chlorophenyl, 3-fluorophenyl,3-chlorophenyl, 4-fluorophenyl, 4-chlorophenyl, 4-chloro-2-fluorophenyl,2-chloro-4-fluorophenyl, 4-bromo-2-fluorophenyl, 2,3,4-trifluorophenyl,2,4,5-trifluorophenyl, 2,4,6-trifluorophenyl and the like are used.

As lower (C₁₋₄) alkylphenyl, for example, 2-ethylphenyl,2,6-diisopropylphenyl and the like are preferably used. As lower (C₁₋₄)alkoxyphenyl, for example 4-methoxyphenyl and the like are preferablyused.

As lower (C₁₋₄) alkoxy-carbonylphenyl, for example,2-ethoxycarbonylphenyl, 2-methoxycarbonylphenyl, 4-methoxycarbonylphenyland the like are preferably used. As halogeno lower (C₁₋₄) alkylphenyl,for example, 2-trifluoromethylphenyl and the like are preferably used.As halogeno lower (C₁₋₄) alkoxyphenyl, for example,2-trifluoromethoxyphenyl, 4-(2,2,3,3,3-pentafluoropropoxy)phenyl and thelike are preferably used.

As lower (C₁₋₄) alkanoylphenyl, for example, 2-acetylphenyl and the likeare preferably used. As phenyl substituted by a 5-membered aromaticheterocyclic group, for example, 4-(2H-1,2,3-triazol-2-yl)phenyl,4-(2H-tetrazol-2-yl)phenyl, 4-(1H-tetrazol-1-yl)phenyl,4-(1H-1,2,3-triazol-1-yl)phenyl and the like are preferably used. Aslower (C₁₋₄) alkoxy-carbonyl-lower (C₁₋₄) alkyl-carbamoylphenyl, forexample, 4-(N-ethoxycarbonylmethylcarbamoyl)phenyl and the like arepreferably used. As 1,3-diacylguanidino-lower (C₁₋₄) alkylphenyl, forexample, 4-(1,3-bis-tert-butoxycarbonylguanidinomethyl)phenyl and thelike are preferably used.

As phenyl substituted by a halogen atom and lower (C₁₋₄) alkyl, forexample, 2-fluoro-4-methylphenyl, 2-chloro-4-methylphenyl,4-fluoro-2-methylphenyl and the like are preferably used. As phenylsubstituted by a halogen atom and lower (C₁₋₄) alkoxy-carbonyl, forexample, 2-chloro-4-methoxycarbonylphenyl and the like are preferablyused. As phenyl substituted by a halogen atom and cyano,2-chloro-4-cyanophenyl and the like are preferably used. As phenylsubstituted by a halogen atom and 5-membered aromatic heterocyclicgroup, for example, 2-fluoro-4-(1H-1,2,4-triazol-1-yl)phenyl and thelike are preferably used. As phenyl substituted by a halogen atom andlower (C₁₋₄) alkoxy-carbonyl-lower (C₁₋₄) alkyl-carbamoyl, for example,2-chloro-4-(N-tert-butoxycarbonylmethylcarbamoyl)phenyl,2-chloro-4-(N-ethoxycarbonylmethylcarbamoyl)phenyl and the like arepreferably used.

More specifically, as Ar in particular, phenyl, phenyl substituted by 1to 3 (particularly 1 or 2) halogen atoms (when substituted by pluralhalogen atoms, these halogen atoms may be the same or different; e.g.,2,3-difluorophenyl, 2,3-dichlorophenyl, 2,4-difluorophenyl,2,4-dichlorophenyl, 2,5-difluorophenyl, 2,5-dichlorophenyl,2,6-difluorophenyl, 2,6-dichlorophenyl, 3,4-difluorophenyl,3,4-dichlorophenyl, 3,5-difluorophenyl, 3,5-dichlorophenyl,4-bromo-2-fluorophenyl, 2-fluorophenyl, 2-chlorophenyl, 3-fluorophenyl,3-chlorophenyl, 4-fluorophenyl, 4-chlorophenyl, 2-fluoro-4-chlorophenyl,2-chloro-4-fluorophenyl, 2,3,4-trifluorophenyl, 2,4,5-trifluorophenyl),phenyl substituted by a halogen atom and lower (C₁₋₄) alkyl (e.g.,2-chloro-4-methylphenyl, 4-fluoro-2-methylphenyl) and the like arepreferable. Of these, phenyl substituted by 1 to 3 (particularly 1 or 2)halogen atoms (when substituted by plural halogen atoms, these halogenatoms may be the same or different; e.g., 2,3-dichlorophenyl,2,4-difluorophenyl, 2,4-dichlorophenyl, 2,6-dichlorophenyl,2-fluorophenyl, 2-chlorophenyl, 3-chlorophenyl, 2-chloro-4-fluorophenyl,2,4,5-trifluorophenyl), phenyl substituted by a halogen atom and lower(C₁₋₄) alkyl (e.g., 2-chloro-4-methylphenyl, 4-fluoro-2-methylphenyl)and the like are preferable. Particularly, 2,4-difluorophenyl,2-chlorophenyl, 2-chloro-4-fluorophenyl, 2-chloro-4-methylphenyl and thelike are preferable, and 2,4-difluorophenyl, 2-chloro-4-fluorophenyl andthe like are preferable.

In the present specification, ring A¹ is preferably cycloalkeneoptionally substituted by 1 to 4 substituents selected from

(i) an aliphatic hydrocarbon group optionally having substituent(s),(ii) an aromatic hydrocarbon group optionally having substituent(s),(iii) a group represented by the formula: —OR¹¹ wherein R¹¹ is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s), and(iv) halogen atoms. Of these, cycloalkene optionally substituted by 1 to4 substituents selected from(i) an aliphatic hydrocarbon group optionally having substituent(s),(ii) an aromatic hydrocarbon group optionally having substituent(s), and(iv) halogen atomsare preferable.

These substituents (i) to (iv) substitute on substitutable carbon atomsin the ring A¹, and when the ring A¹ is substituted by two or more ofsuch substituents, the substituents may be the same or different. Asingle carbon atom may be substituted by two substituents, and differentcarbon atoms may be substituted by two or more substituents.

As the “aliphatic hydrocarbon group optionally having substituent(s)” asthe substituent on the ring A¹, for example, those similar to the“aliphatic hydrocarbon group optionally having substituent(s)” for R andthe like described above may be used.

As the “aromatic hydrocarbon group optionally having substituent(s)” asthe substituent on the ring A¹, for example, those similar to the“aromatic hydrocarbon group optionally having substituent(s)” for Ardescribed above may be used.

As the substituents for the ring A¹, 1 or 2 C₁₋₆ alkyl groups (e.g.,methyl, tert-butyl), phenyl, a halogen atom (e.g., fluorine, chlorine,bromine, iodine atoms), etc. are preferably used. When two substituentsare present, they may be the same or different.

As the integer of 1 to 4 for n, 1 to 3 is preferable, and 2 isparticularly preferable.

As the compound represented by the formula (I), the compound representedby the formula (Ibb′) is preferable, and the compound represented by theformula (Inn) is more preferable.

Furthermore, preferred as a compound represented by the formula (Ibb′)or the formula (Inn) is that wherein R¹ is lower alkyl optionally havingsubstituent(s) (more preferably R¹ is C₁₋₆ alkyl), R² is a hydrogen atomor lower (C₁₋₆) alkyl, Ar is phenyl optionally having substituent(s)(more preferably Ar is phenyl substituted by 1 or 2 halogen atoms), andn is 1, 2 or 3 (more preferably n is 2).

A group represented by the formula:

is a group represented by the formula:

As the compound represented by the formula (I), for example, thefollowing compounds and the like are preferable.

(1) A compound represented by the formula (Ia):

wherein R^(1a) is C₁₋₆ alkyl, R^(2a) is a hydrogen atom or C₁₋₆ alkyl,Ara is phenyl substituted by 1 or 2 halogen atoms.(2) compounds (1)-(85) described in Reference Example A mentioned below.(3) the following compounds:

-   d-ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 20),-   ethyl 6-[N-(2-chlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 28),-   ethyl    6-[N-(2-chloro-4-methylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 45), and-   ethyl    (6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 72).

The compound represented by the formula (II) is explained.

As the “aliphatic hydrocarbon group optionally having substituent(s)”,“aromatic hydrocarbon group optionally having substituent(s)” and“heterocyclic group optionally having substituent(s)” for R^(1′), thosesimilar to these substituents for R can be used.

As the “aliphatic hydrocarbon group optionally having substituent(s)”for R^(1b′) and R^(1c′), for example, those similar to theaforementioned “aliphatic hydrocarbon group optionally havingsubstituent(s)” for R can be used. As R^(1b′) and R^(1c′), for example,lower alkyl having 1 to 6 carbon atoms optionally having substituent(s)(e.g., methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl,tert-butoxycarbonylmethyl, hydroxyethyl) and the like are preferablyused. Of these, for example, methyl, ethyl, n-propyl, isopropyl,n-butyl, isobutyl and the like are preferably used. Particularly, forexample, methyl, ethyl, n-propyl and the like are preferable, and ethyland the like are specifically preferable.

As R^(1′), a group represented by the formula: —OR^(1a′) wherein R^(1′)is as defined above is preferable. As the “aliphatic hydrocarbon groupoptionally having substituent(s)” for R^(1a′), for example, thosesimilar to the “aliphatic hydrocarbon group optionally havingsubstituent(s)” for the aforementioned R can be used. Lower alkyl havinga carbon number of 1 to 6 which may have substituent(s) (e.g., methyl,ethyl, n-propyl, isopropyl, n-butyl, isobutyl,tert-butoxycarbonylmethyl, hydroxyethyl) and the like are preferablyused. Of these, for example, C₁₋₆ alkyl such as methyl, ethyl, n-propyl,isopropyl, n-butyl, isobutyl and the like are preferably used. Inparticular, for example, methyl, ethyl, n-propyl and the like arepreferable, and ethyl and the like are preferable.

As the “substituent” of the “methylene optionally having substituent(s)”for Y, for example, one or the same or different two substituentsselected from

(1) C₁₋₆ alkyl (e.g., methyl, ethyl, n-propyl, isopropyl, n-butyl,isobutyl),(2) hydroxyl substituted-C₁₋₆ alkyl (e.g., hydroxymethyl, hydroxyethyl),(3) C₁₋₄ alkoxy-carbonyl-C₁₋₄ alkyl (e.g., methoxycarbonylmethyl,ethoxycarbonylmethyl, tert-butoxycarbonylmethyl, methoxycarbonylethyl,ethoxycarbonylethyl, tert-butoxycarbonylethyl)and the like are used, and of these, methyl is preferable. As Y,unsubstituted methylene is particularly preferable.

As the “substituent” of the “NH optionally having substituent(s)” for Y,

(1) C₁₋₆ alkyl (e.g., methyl, ethyl, n-propyl, isopropyl, n-butyl,isobutyl),(2) hydroxyl substituted-C₁₋₆ alkyl (e.g., hydroxymethyl, hydroxyethyl),(3) C₁₋₄ alkoxy-carbonyl-C₁₋₄ alkyl (e.g., methoxycarbonylmethyl,ethoxycarbonylmethyl, tert-butoxycarbonylmethyl, methoxycarbonylethyl,ethoxycarbonylethyl, tert-butoxycarbonylethyl)and the like are used, and of these, methyl is preferable. As Y,unsubstituted NH is particularly preferable.

In the “aromatic hydrocarbon group optionally having substituent(s)” forAr′, those similar to the aforementioned “aromatic hydrocarbon groupoptionally having substituent(s)” for Ar can be used.

Particularly, as Ar′, those similar to Ar are preferable. Among others,a group represented by the formula (c):

wherein R^(3′) is a halogen atom or a lower alkyl group, and ring B′ isoptionally further substituted by 1 or 2 halogen atoms is preferable,and a group represented by the formula (c1):

wherein R^(3a′) and R^(3b′) are the same or different and each is ahalogen atom is more preferable.

In the formula (c), a halogen atom for R³ and a halogen atom which is asubstituent of ring B′ and a halogen atom for R^(3a′) and R^(3b′) in theformula (c1), a fluorine atom or a chlorine atom is preferable. As thelower alkyl for R^(3′) in the formula (c), for example, C₁₋₄ alkyl suchas methyl, ethyl, propyl and the like can be mentioned. Among the groupsrepresented by the formula (c), 2,4-difluorophenyl,2-chloro-4-fluorophenyl, 2-methyl-4-chlorophenyl and the like arepreferable. Among the groups represented by the formula (c1),2,4-difluorophenyl, 2-chloro-4-fluorophenyl and the like are preferable.

X is methylene, NH, a sulfur atom or an oxygen atom, and methylene or anoxygen atom is particularly preferable.

Ring A′ is a 5- to 8-membered ring substituted by a group represented bythe formula: —CO—R^(1′) wherein R^(1′) is as defined above and a grouprepresented by the formula: —SO₂—Y—Ar′ wherein Y and Ar′ are as definedabove, and optionally further substituted by 1 to 4 substituentsselected from the group consisting of

(i) an aliphatic hydrocarbon group optionally having substituent(s),(ii) an aromatic hydrocarbon group optionally having substituent(s),(iii) a group represented by the formula: —OR^(2′) wherein R^(2′) is asdefined above and(iv) a halogen atom. Of these, a 5- to 8-membered ring optionallysubstituted by 1 to 4 substituents selected from(i) an aliphatic hydrocarbon group optionally having substituent(s),(ii) an aromatic hydrocarbon group optionally having substituent(s) and(iv) a halogen atom are preferable.

These substituents are present at substitutable positions on the ringA′. When X constituting the ring is NH or methylene, they can substitutethe NH and methylene. When ring A′ is substituted by pluralsubstituents, the kinds of such substituents may be the same ordifferent. In addition, two substituents may substitute on the samecarbon atom.

As the “aliphatic hydrocarbon group optionally having substituent(s)”and “aromatic hydrocarbon group optionally having substituent(s)”, whichare substituents of ring A′, for example, those similar to theaforementioned group for R can be mentioned.

As the “aliphatic hydrocarbon group optionally having substituent(s)”for R^(2′), for example, those similar to the aforementioned groups forR can be mentioned.

As the substituent for ring A′, 1 or 2 C₁₋₆ alkyl (e.g., methyl,tert-butyl), phenyl, halogen atoms (e.g., fluorine, chlorine, bromine,iodine) and the like are preferably used. When two substituents arepresent, they may be the same or different.

The “s” is an integer of 0 to 2, “t” is an integer of 1 to 3, and thetotal of “s” and “t” is 4 or less, with preference given to “s” being 1and “t” being 1.

A group represented by the formula:

is a group represented by the formula:

As the compound represented by the formula (II), for example, thefollowing compounds and the like are preferable. (1) Compound (II)wherein

R^(1′) is a group represented by the formula: —OR^(1a′) wherein R^(1a′)is C₁₋₆ alkyl,a group represented by the formula:

is a group represented by the formula:

X is methylene or an oxygen atom,Y is methylene or —NH—, andAr′ is phenyl optionally having 1 or 2 substituents selected from ahalogen atom and C₁₋₄ alkoxy, that is, a compound represented by theformula (IIa):

wherein R^(1a″) is C₁₋₆ alkyl, X^(a) is methylene or an oxygen atom,Y^(a) is methylene or —NH—, Ar^(a)′ is phenyl optionally having 1 or 2substituents selected from a halogen atom and C₁₋₄ alkoxy, provided whenX^(a) is methylene, then Y^(a) is methylene optionally havingsubstituent(s).(2) Compound (II) whereinR^(1′) is a group represented by the formula: —OR^(1a′) (R^(1a′) is C₁₋₆alkyl),a group represented by the formula:

is a group represented by the formula:

X and Y are both methylene, or X is an oxygen atom and Y is —NH—, andAr′ is phenyl optionally having two halogen atoms (e.g.,2-chloro-4-fluorophenyl).(3) Compounds (1′)-(10′) described in Reference Example B mentionedbelow.(4) The following compounds:

-   ethyl    6-[(2-chloro-4-fluorobenzyl)sulfonyl]-1-cyclohexene-1-carboxylate    (compound 4′),-   ethyl    (+)-6-[(2-chloro-4-fluorobenzyl)sulfonyl]-1-cyclohexene-1-carboxylate    (compound 6′),-   ethyl    3-[(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate    (compound 8′), and-   ethyl    (3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate    (compound 9′).

A compound represented by the formula (III) is explained.

R^(1aa) is C₁₋₆ alkyl (e.g., methyl, ethyl, propyl, isopropyl, butyl,isobutyl, sec-butyl, tert-butyl, pentyl, isopentyl, neopentyl,1-ethylpropyl, hexyl, isohexyl, 1,1-dimethylbutyl, 2,2-dimethylbutyl,3,3-dimethylbutyl, 2-ethylbutyl etc.). Of these, ethyl is preferable.

X^(aa) is methylene or an oxygen atom.

Ar^(aa) is phenyl optionally having 1 or 2 substituents selected from ahalogen atom (e.g., fluorine atom, chlorine atom, bromine atom, iodineatom etc.), C₁₋₆ alkyl (e.g., methyl, ethyl, propyl, isopropyl, butyl,isobutyl, sec-butyl, tert-butyl, pentyl, isopentyl, neopentyl,1-ethylpropyl, hexyl, isohexyl, 1,1-dimethylbutyl, 2,2-dimethylbutyl,3,3-dimethylbutyl, 2-ethylbutyl etc.) and C₁₋₆ alkoxy (e.g., methoxy,ethoxy, propoxy, isopropoxy, butoxy, isobutoxy, sec-butoxy, tert-butoxy,pentoxy, isopentoxy, hexoxy etc.). As Ar^(aa), phenyl optionally having1 or 2 substituents selected from a halogen atom (particularly, afluorine atom, a chlorine atom) and C₁₋₆ alkyl (particularly, methyl,ethyl, isopropyl) is preferable. When two substituents are present, theymay be the same or different.

As a compound represented by the formula (III), for example, thefollowing compounds and the like are preferable.

(1) A compound wherein R^(1aa) is ethyl,X^(aa) is methylene or an oxygen atom,Ar^(aa) is phenyl optionally having 1 or 2 substituents selected from ahalogen atom (particularly, a fluorine atom, a chlorine atom) and C₁₋₆alkyl (particularly, methyl, ethyl, isopropyl).(2) Compounds 1, 3, 4, 6, 7, 10-17, 19, 20, 27-30, 34, 35, 37-39, 41,45-47 and 71-74 of Reference Example A and compounds 7′-9′ of ReferenceExample B.(3) The following compounds:

-   d-ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 20),-   ethyl 6-[N-(2-chlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 28),-   ethyl    6-[N-(2-chloro-4-methylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 45),-   ethyl    (6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 72),-   ethyl    3-[(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate    (compound 8′),-   ethyl    (3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate    (compound 9′).    (4) The following compounds:-   ethyl    (6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 72), and-   ethyl    (3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate    (compound 9′).    (5) The following compound:-   ethyl    (6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (compound 72).    (6) The following compound:-   ethyl    (3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate    (compound 9′).

When the compounds represented by the formulas (I), (II) and (III) havestereoisomers, each stereoisomer and a mixture of these stereoisomersare both encompassed in the present invention.

Furthermore, when the compound represented by the formula (I) is acompound represented by the formula (Icc) or (Inn), and the formula (b)of the compound represented by the formula (II) is the formula (b1), sand t are 1 and the compound represented by the formula (III), each hasan optical isomer based on the asymmetric carbon in cycloalkene orcyclohexene ring. Such optical isomer and a mixture of such opticalisomers are both encompassed in the present invention.

The compounds represented by the formulas (I), (II) and (III) may beconverted into a salt with an inorganic base, organic base, inorganicacid, organic acid, basic or acidic amino acid, and the like. As thesalt with an inorganic base, for example, an alkali metal salt such assodium and potassium salts, etc.; an alkaline earth metal salt such ascalcium and magnesium salts, etc.; aluminum salt; ammonium salt; and thelike are used. As the salt with an organic base, for example, a saltwith trimethylamine, triethylamine, pyridine, picoline, ethanolamine,diethanolamine, triethanolamine, dicyclohexylamine,N,N′-dibenzylethylenediamine, etc can be used. As the salt with aninorganic acid, for example, a salt with hydrochloric acid, hydrobromicacid, nitric acid, sulfuric acid, phosphoric acid, etc can be used. Asthe salt with an organic acid, for example, a salt with formic acid,acetic acid, trifluoroacetic acid, fumaric acid, oxalic acid, tartaricacid, maleic acid, citric acid, succinic acid, malic acid,methanesulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid, andthe like can be used. As the salt with a basic amino acid, for example,a salt with arginine, lysine, ornithine, etc can be used. As the saltwith acidic amino acid, for example, a salt with aspartic acid, glutamicacid, and the like can be used.

A prodrug of the compound represented by the formula (I), (II) or (III)or a salt thereof is a compound which is converted into a parentcompound (that is, the compound represented by the formula (I), (II) or(III)) as a result of a reaction with an enzyme, gastric acid etc. underphysiological conditions in vivo. Thus, the compound is converted into aparent compound by enzymatical oxidation, reduction, hydrolysis etc., byhydrolysis due to gastric acid etc. A prodrug of a parent compound maybe a compound obtained by subjecting an amino group of a parent compoundto an acylation, alkylation or phosphorylation (e.g., a compoundobtained by subjecting an amino group of a parent compound to aneicosanoylation, alanylation, pentylaminocarbonylation,2-hydroxypropionylation, 2-acetoxypropionylation,(5-methyl-2-oxo-1,3-dioxolen-4-yl)methoxycarbonylation,tetrahydrofuranylation, pyrrolidylmethylation, pivaloyloxymethylation,tert-butylation, etc.); a compound obtained by subjecting a hydroxygroup of a parent compound to an acylation, alkylation, phosphorylationor boration (e.g., a compound obtained by subjecting a hydroxy group ofa parent compound to an acetylation, palmitoylation, propanoylation,pivaloylation, succinylation, fumarylation, alanylation,dimethylaminomethylcarbonylation, etc.); a compound obtained bysubjecting a carboxyl group of a parent compound to an esterification oramidation (e.g., a compound obtained by subjecting a carboxyl group of aparent compound to an ethyl-esterification, phenyl-esterification,carboxymethyl-esterification, dimethylaminomethyl-esterification,pivaloyloxymethyl-esterification, ethoxycarbonyloxyethyl-esterification,phthalidyl-esterification,(5-methyl-2-oxo-1,3-dioxolen-4-yl)methyl-esterification,cyclohexyloxycarbonylethyl-esterification and methylamidation, etc.) andthe like. Any of these compounds can be produced from a parent compoundby a method known per se.

A prodrug of the compound represented by the formula (I), (II) or (III)may also be one which is converted into a parent compound (that is, thecompound represented by the formula (I), (II) or (III)) under aphysiological condition, such as those described in “IYAKUHIN noKAIHATSU (Development of Pharmaceuticals)”, Vol. 7, Design of Molecules,p. 163-198, Published by HIROKAWA SHOTEN (1990).

The compound represented by the formula (I), a salt thereof or a prodrugthereof can be produced according to a method known per se, for example,a production method described in WO99/46242 and WO02/32859 or a methodanalogous thereto.

The compound represented by the formula (II), a salt thereof or aprodrug thereof can be produced according to a method known per se, forexample, a production method described in WO01/10826 or a methodanalogous thereto.

A compound represented by the formula (III) or a salt thereof or aprodrug thereof can be produced according to a method known per se. Forexample, when X^(aa) in the formula (III) is methylene, it can beproduced by the production methods described in WO99/46242 andWO02/32859 or the method analogous thereto, and when X^(aa) is an oxygenatom, it can be produced by the production methods described inWO01/10826, the below-mentioned Reference Example 1 and ReferenceExample 2 or a method analogous thereto.

When the optically active compound or a salt thereof contains anenantiomer, general separation means may be applied such asdiastereomeric salt methods wherein a salt with an optically active acid(e.g., camphor sulfonic acid) or optically active base (e.g.,1-methylbenzylamine) is formed, inclusion compound methods using anoptically active host molecule (e.g.,1,6-bis(2-chlorophenyl)-1,6-diphenylhexa-2,4-diyn-1,6-diol), variouschromatographies (e.g., liquid chromatography using an optically activecolumn), fractional recrystallization and the like, whereby an opticallypure compound can be obtained.

A compound represented by the formula (I), (II) or (III), or a saltthereof or a prodrug thereof (hereinafter to be comprehensively referredto as “compound A”) may be any of hydrate, non-hydrate, solvate andnon-solvate.

In addition, compound A may be labeled with an isotope (e.g., ³H, ¹⁴C,³S, ¹²⁵I) and the like.

Furthermore, compound A may be a deuterated compound wherein ¹H isconverted to ²H(D).

Compound A is useful for suppressing (or mitigating) variousneurological symptoms (e.g., dysesthesia such as numbness, pain (e.g.,muscular pain, neuralgia), anesthesia, ache and the like) caused byperipheral nerve disorders that may be developed as the side effects ofthe administration of chemotherapeutic agents such as anti-cancer agentand the like.

Compound A is useful for the suppression (or mitigation) of numbnessfrom among the above-mentioned neurological symptoms.

Compound A is also useful for the suppression (or mitigation) of painfrom among the above-mentioned neurological symptoms.

Examples of the anti-cancer agent in the present specification includeprophylactic agents and therapeutic agents for lung cancer (e.g.,non-small cell lung cancer, small cell lung cancer, malignantmesothelioma), mesothelioma, pancreatic cancer (e.g., pancreatic ductcancer, pancreatic endocrine tumor), pharyngeal cancer, laryngealcancer, esophagus cancer, gastric cancer (e.g., papillaryadenocarcinoma, mucinous adenocarcinoma, adenosquamous carcinoma),duodenal cancer, small intestinal cancer, colorectal cancer (e.g.,colorectal cancer, rectal cancer, anal cancer, familial colorectalcancer, hereditary nonpolyposis colorectal cancer, gastrointestinalstromal tumor), breast cancer (e.g., invasive ductal carcinoma, ductalcarcinoma in situ, inflammatory breast cancer), ovarian cancer (e.g.,ovarian epithelial carcinoma, extragonadal germ cell tumor, ovarian germcell tumor, ovarian low malignant potential tumor), testis tumor,prostate cancer (e.g., hormone-dependent prostate cancer, non-hormonedependent prostate cancer), liver cancer (e.g., hepatocyte cancer,primary liver cancer, extrahepatic bile duct cancer), thyroid cancer(e.g., medullary thyroid carcinoma), kidney cancer (e.g., renal cellcarcinoma, transitional cell carcinoma of renal pelvis and ureter),uterine cancer (e.g., uterine cervical cancer, cancer of uterine body,uterus sarcoma), brain tumor (e.g., medulloblastoma, glioma, pinealastrocytoma, pilocytic astrocytoma, diffuse astrocytoma, anaplasticastrocytoma, hypophysial adenoma), retina blastoma, skin cancer (e.g.,basalioma, malignant melanoma), sarcoma (e.g., rhabdomyosarcoma,leiomyosarcoma, soft tissue sarcoma), malignant bone tumor, urinarybladder cancer, hematologic cancer (e.g., multiple myeloma, leukemia,malignant lymphoma, Hodgkin's disease, chronic bone marrow proliferativedisease), cancer of unknown primary and the like, which cause peripheralnerve disorders as side effects.

Examples of such anti-cancer agent include taxane anti-cancer agents(e.g., paclitaxel (taxol), docetaxel), vinca alkaloid anti-cancer agents(e.g., vincristine, vinblastine), platinum preparations (e.g.,cisplatin, carboplatin, oxaliplatin), molecular targeted drugs (e.g.,bortezomib) and the like.

Among the above-mentioned anti-cancer agents, paclitaxel, vincristine,cisplatin, carboplatin and bortezomib are known as the agents havingnumbness and/or pain (e.g., muscular pain, neuralgia) as remarkable sideeffects (J. Clin Oncol. 24:1633-1642, 2006; Neurotoxicology,27:992-1002, 2006; British Journal of Haematology, 127, 165-172, 2004).

Therefore, compound A is particularly useful for suppressing (ormitigating) dysesthesia such as numbness and/or pain (e.g., muscularpain, neuralgia) and the like caused by paclitaxel, vincristine,cisplatin, carboplatin and/or bortezomib. Particularly, compound A isuseful for suppressing (or mitigating) dysesthesia such as numbnessand/or pain (e.g., muscular pain, neuralgia) and the like caused bypaclitaxel.

The dose of the aforementioned anti-cancer agents can be appropriatelydetermined based on the clinical dose of each of the agents. As long ascompound A can suppress the side effects, a dose higher than theconventional dose can also be administered.

In the case of paclitaxel as a representative example, the dose isadministered by drip infusion according to the schedule of anadministration at 60-70 mg/m² every 3 weeks, or at 210 mg/m² once a weekfor 3 weeks and one week cessation of the drug.

Such preparation can be produced by the method conventionally used inthe technical field of preparations, for example, the method describedin the Japanese Pharmacopoeia and the like.

The dose of compound A can be appropriately determined in considerationof the dose and dosing period of the above-mentioned anti-cancer agents,age, body weight and symptom of the subject of administration, dosageform, administration method and the like.

Representatively, the dose of compound A is, for example, generally0.1-10 mg/kg/day, preferably 0.6-2.4 mg/kg/day, of compound A in a freeform for an adult patient (body weight 60 kg). This mount is orally orparenterally administered in one to several portions (e.g., 1-3portions) a day. It is needless to say that an amount smaller than theaforementioned dose may be sufficient or an administration beyond theabove level may be necessary, since the dose changes under variousconditions as mentioned above.

Compound A can be safely administered to mammals (e.g., human, mouse,rat, rabbit, dog, cat, bovine, horse, swine, monkey) orally orparenterally.

Examples of the dosage form of compound A include oral preparations suchas tablet (including sugar-coated tablet, film-coated tablet, sublingualtablet, orally disintegrating tablet), capsule (including soft capsule,microcapsule), granule, powder, troche, syrup, emulsion, suspension,films (e.g., orally disintegrable films) and the like; and parenteralagents such as injection (e.g., subcutaneous injection, intravenousinjection, intramuscular injection, intraperitoneal injection, dripinfusion), external preparation (e.g., dermal preparation, ointment),suppository (e.g., rectal suppository, vaginal suppository), pellet,nasal preparations, pulmonary preparation (inhalant), eye drop and thelike. In addition, these preparations may be release controlpreparations (e.g., sustained-release microcapsule) such asimmediate-release preparations, sustained-release preparations and thelike. Such preparation can be produced by the method conventionally usedin the technical field of preparations, for example, the methoddescribed in the Japanese Pharmacopoeia and the like.

Compound A is used in combination with the aforementioned anti-canceragents to suppress (or mitigate) various neurological symptoms caused byperipheral nerve disorders that may be developed as the side effects ofthe administration of the aforementioned anti-cancer agents.

In one embodiment, the present invention relates to kit of parts forsuppressing a peripheral nerve disorder induced by an anti-cancer agentcomprising compound A and the anti-cancer agent.

In another embodiment, the present invention relates to a medicamentcomprising compound A and the anti-cancer agent.

Here, one or more kinds of the aforementioned anti-cancer agents may becombined. For example, in the case of paclitaxel, it may be combinedwith cisplatin and/or carboplatin and administered.

For combined use of compound A and the aforementioned anti-canceragents, the timing of the administration of compound A and ananti-cancer agent is not particularly limited. Compound A (or apharmaceutical composition thereof) and an anti-cancer agent (or apharmaceutical composition thereof) may be administered to anadministration subject simultaneously or in a staggered manner.

When one or more kinds of anti-cancer agents are administered,similarly, each of compound A (or a pharmaceutical composition thereof)and one or more kinds of anti-cancer agents (or a pharmaceuticalcomposition thereof) may be administered to an administration subjectsimultaneously or in a staggered manner.

The mode of administration of compound A and an anti-cancer agent is notparticularly limited as long as compound A and an anti-cancer agent arecombined.

Examples of such administration mode include the following

(1) administration of a single preparation obtained by simultaneouslyprocessing compound A (or a pharmaceutical composition thereof) and oneor more kinds of anti-cancer agents (or a pharmaceutical compositionthereof) (to be sometimes abbreviated as “the combination drug of thepresent invention”),(2) simultaneous administration of two or more kinds of preparations ofcompound A (or a pharmaceutical composition thereof) and one or morekinds of anti-cancer agents (or a pharmaceutical composition thereof),which preparations are separately produced, by the same administrationroute,(3) administration of two or more kinds of preparations of compound A(or a pharmaceutical composition thereof) and one or more kinds ofanti-cancer agents (or a pharmaceutical composition thereof), whichpreparations are separately produced, by the same administration routein a staggered manner,(4) simultaneous administration of two or more kinds of preparations ofcompound A (or a pharmaceutical composition thereof) and one or morekinds of anti-cancer agents (or a pharmaceutical composition thereof),which preparations are separately produced, by different administrationroutes,(5) administration of two or more kinds of preparations of compound A(or a pharmaceutical composition thereof) and one or more kinds ofanti-cancer agents (or a pharmaceutical composition thereof), whichpreparations are separately produced, by different administration routesin a staggered manner (e.g., administration in the order of compound A(or a pharmaceutical composition thereof) and an anti-cancer agent (or apharmaceutical composition thereof), or in the reverse order) and thelike.

The mixing ratio of compound A and the aforementioned anti-cancer agentin the combination drug of the present invention can be appropriatelydetermined according to the subject of administration, administrationroute, disease and the like.

For example, the content of compound A in the combination agent of thepresent invention differs depending on the form of a preparation, and isusually from about 0.01 to 99.8% by weight, preferably from about 0.1 to50% by weight, further preferably from about 0.5 to 20% by weight, basedon total of the preparation.

The content of the anti-cancer agent in the combination agent of thepresent invention varies depending on the form of the preparation, andis usually from about 0.01 to 99.8% by weight, preferably from about 0.1to 50% by weight, further preferably from about 0.5 to 20% by weight,based on the total of the preparation.

When one or more kinds of anti-cancer agents are administered, thecontent of each anti-cancer agent can be determined within the range ofthe above-mentioned content. Here, the mixing rate of the respectiveanti-cancer agents can be appropriately determined according to theadministration subject, administration route, disease and the like.

The content of additives such as carrier in the combination agent of thepresent invention differs depending on the form of a preparation, and isusually from about 1 to 99.98% by weight, preferably from about 10 to90% by weight, based on total of the preparation.

When compound A and an anti-cancer agent are independently prepared, thecontents thereof may be the same as those mentioned above.

When compound A is administered to a human, it can be safelyadministered orally or parenterally as it is or in a mixture with anappropriate pharmacologically acceptable carrier, excipient and diluent,in a pharmaceutical composition such as an oral administrationformulation (e.g., powder, granule, tablet, capsule etc.), a parenteraladministration formulation (e.g., injection, external formulation (e.g.,nasal administration formulation, percutaneous administrationformulation etc.) and suppository (e.g., rectal suppository and vaginalsuppository etc.).

Any of these formulations may be produced by any method known per sewhich is employed ordinarily for producing a pharmaceutical formulation.The amount of compound A to be incorporated into a formulation may varydepending on the dosage forms, and is preferably about 10 to 95% byweight in an oral administration formulation described above and about0.001 to about 95% by weight in a parenteral administration formulationdescribed above.

For example, compound A can be prepared into an aqueous injectiontogether with a solubilizer (e.g., β-cyclodextrins etc.), a dispersant(e.g., Tween 80 (manufactured by ATLASPOWDER USA), HCO 60 (manufacturedby NIKKO CHEMICALS), carboxymethylcellulose, sodium arginate etc.), apreservative (e.g., methyl paraben, propyl paraben, benzyl alcohol,chlorobutanol etc.), an isotonic agent (e.g., sodium chloride,glycerine, sorbitol, glucose etc.) and the like according to aconventional method, or into an oil-based injection by appropriatelydissolving, suspending or emulsifying using a vegetable oil (e.g., oliveoil, sesame oil, peanut oil, cottonseed oil, corn oil etc.) andpropylene glycol and the like.

An oral administration formulation can be produced by, for example,compressing compound A together with an excipient (e.g., lactose,sucrose, starch etc.), a disintegrant (e.g., starch, calcium carbonateetc.), a binder (e.g., starch, gum arabic, carboxymethyl cellulose,polyvinyl pyrrolidone, hydroxypropyl cellulose etc.), a lubricant (e.g.,talc, magnesium stearate, polyethylene glycol 6000 etc.), and the like,followed by, where necessary, a coating process known per se for thepurpose of masking a taste, forming an enteric coat, or achieving asustained release.

For such coating agent, for example, hydroxypropylmethyl cellulose,ethyl cellulose, hydroxymethyl cellulose, hydroxypropyl cellulose,polyoxyethylene glycol, Tween 80, Pluronic F68, cellulose acetatephthalate, hydroxypropylmethyl cellulose phthalate, hydroxymethylcellulose acetate succinate, Eudragit (manufactured by ROHM, Germany, acopolymer of methacrylic acid and acrylic acid), a dye (e.g., titaniumoxide, colcothar etc.) and the like may appropriately be used.

Compound A can also be employed as an external formulation in the formof a solid or semi-solid or a liquid.

For example, a solid external formulation may be compound A as it is orcan be produced by mixing compound A with an excipient (e.g., glycol,mannitol, starch, microcrystalline cellulose etc.), a thickening agent(e.g., natural gums, cellulose derivatives, acrylic acid polymers etc.)which is then converted into a powder composition. A semi-solid externalformulation may be produced by a standard method and preferably used inthe form of an aqueous or oil-based gel or ointment. A liquid externalformulation may be produced by a method employed for producing aninjection formulation or an analogous method in the form of an oil-basedor aqueous suspension.

The solid, semi-solid or liquid external formulation may be supplementedalso with a pH modifier (e.g., carbonic acid, phosphoric acid, citricacid, hydrochloric acid, sodium hydroxide etc.), an antiseptic (e.g.,p-oxybenzoate esters, chlorobutanol, benzalkonium chloride etc.) and thelike, as appropriate. Typically, an ointment usually containing about0.1 to about 100 mg of compound A per 1 g a vaseline or a lanolin etc.as a formulation base, can be used.

Compound A may be also formulated as an oil or aqueous, solid orsemi-solid or liquid suppository. As an oil base in preparingsuppository, for example, a higher fatty acid glyceride (e.g., cocoabutter, WITEPSOL (manufactured by DYNAMIT NOBEL) etc.), a middle fattyacid (e.g., MYGLYOL (manufactured by DYNAMIT NOBEL) etc.), a vegetableoil (e.g., sesame oil, soybean oil, cottonseed oil etc.) and the likeare used as appropriate. An aqueous base may be, for example,polyethylene glycol or propylene glycol, and an aqueous gel base may be,for example, a natural gums, a cellulose derivative, a vinyl polymer, anacrylic polymer and the like.

In the present invention, compound A (particularly, ethyl(6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate(compound 72), and ethyl(3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate(compound 9′)) may be used as an emulsion composition (adjusted to pHabout 3.7-about 5.5) containing the compound and a buffer (hereinafterto be abbreviated as emulsion composition A).

According to emulsion composition A, compound A can be effectively usedas a component of a composition comprising an emulsifier.

Compound A may be in a liquid form or a solid form in an oil phase, andemulsion composition A is formed as an oil-in-water type (O/W type) orS/O/W type emulsion composition.

Emulsion composition A can be produced by, for example, usingemulsifier.

Emulsion composition A is a composition comprising dispersion phaseparticles comprising an oil component, an emulsifier, and compound A,and water containing buffer wherein dispersion phase particles aredispersed. The dispersion phase particles mean a dispersion phasewherein one of two liquids immiscible in each other is present as fineparticles in the other.

As the oil component, any pharmaceutically acceptable fats and oilsgenerally used for the preparation of fat emulsions in thepharmaceutical technical field can be used. Examples of fats and oilsinclude vegetable oil, partially hydrogenated vegetable oil, fats andoils obtained by transesterification reaction (single acid groupglyceride (simple glyceride) or mixed acid group glyceride (mixedglyceride)), and middle chain fatty acid glycerol ester and the like.

The aforementioned fats and oils include fatty acid glycerol esterhaving a carbon number of about 6 to 30 (preferably about 6 to 22).Examples of the aforementioned fatty acid include saturated fatty acidsuch as caproic acid, caprylic acid, capric acid, lauric acid, myristicacid, palmitic acid, stearic acid, behenic acid and the like,unsaturated fatty acid such as palmitoleic acid, oleic acid, linoleicacid, arachidonic acid, eicosapentanoic acid, docosahexaenoic acid andthe like.

Among vegetable oils, a preferable oil component contains, for example,vegetable oil such as soybean oil, cottonseed oil, rape seed oil, peanutoil, safflower oil, sesame oil, rice bran oil, corn germ oil, sunfloweroil, poppy oil, olive oil and the like, and the like. Among thesevegetable oils, soybean oil and the like are preferably used.

As fats and oils, a middle chain fatty acid triglyceride having a carbonnumber of about 6 to 14 (preferably about 8 to 12) can also be used.Preferable middle chain fatty acid glycerol ester includes, for example,caprylic/capric triglycerides such as “miglyol 810”, “miglyol 812” (bothmanufactured by Huls, available from Mitsuba Trading Co., Ltd.) and thelike, caprylic acid triglycerides (glycerol tricaprylic acid ester) suchas “Panacete 800” (manufactured by NOF Corporation) and the like, andthe like.

The amount of the oil component in emulsion composition A to be used is,for example, about 1 to about 30 wt %, preferably about 2 to about 25 wt%, more preferably about 2.5 to about 22.5 wt %, of the wholecomposition.

As the aforementioned emulsifier, any pharmaceutically acceptableemulsifier can be used. Particularly, pharmaceutically acceptablephospholipids and non-ionic surfactants are preferable. The emulsifiercan be used alone or as a mixture of two or more kinds thereof.

Phospholipid includes, for example, naturally occurring phospholipids(e.g., egg-yolk lecithin, soybean lecithin etc.), hydrogenated productsthereof, or synthetically obtained phospholipids (e.g.,phosphatidylcholine, phosphatidylethanolamines, phosphatidic acid,phosphatidylserine, phosphatidylinositol, phosphatidylglycerol etc.) andthe like. Among these phospholipids, egg-yolk lecithin, soybeanlecithin, and phosphatidyl choline derived from egg-yolk and soybean arepreferable. A particularly preferable phospholipid is lecithin. Amongsynthetic phospholipids, anionic phospholipid is preferable. As theanionic synthetic phospholipid, anionic synthetic phospholipids such asdimyristoylphosphatidylglycerol, dipalmitoylphosphatidylglycerol,distearoylphosphatidylglycerol, dioleoylphosphatidylglycerol,oleoylpalmitoylphosphatidylglycerol, dioctanoylphosphatidic acid,didecanoylphosphatidic acid, dilauroylphosphatidic acid,dimyristoylphosphatidic acid, dipalmitoylphosphatidic acid,diheptadecanoylphosphatidic acid, distearoylphosphatidic acid,dioleoylphosphatidic acid, arachidonylstearoylphosphatidic acid,dipalmitoylphosphatidylserine, dioleoylphosphatidylserine,dimyristoylphosphatidylinositol, dipalmitoylphosphatidylinositol,distearoylphosphatidylinositol, dioleoylphosphatidylinositol,dimyristoylphosphatidylserine, distearoylphosphatidylserine and the likeare specifically used, and dimyristoylphosphatidylglycerol isparticularly preferable.

These anionic synthetic phospholipids can be chemically synthesized by amethod known per se, or can also be obtained by purification.

As the non-ionic surfactant, a polymer surfactant having a molecularweight of about 800 to 20000, for example,polyoxyethylene-polyoxypropylene copolymer, polyoxyethylene alkyl ether,polyoxyethylene alkyl aryl ether, hydrogenated castor oilpolyoxyethylene derivative, sorbitan polyoxyethylene derivative,polyoxyethylene sorbitol derivative, polyoxyethylene alkyl ether sulfateand the like can be mentioned.

The emulsifiers of phospholipid and non-ionic surfactants can be usedalone or as a mixture of two or more kinds thereof. Alternatively,commercially available phospholipids may be used.

The total amount of the emulsifier in emulsion composition A to be usedis generally about 0.1 to about 10% (W/V), preferably about 0.2 to about7% (W/V), more preferably about 0.5 to about 5% (W/V), relative to thewhole composition. The anionic synthetic phospholipid is in a proportionof about 0.0001 to about 5% (W/V) relative to the whole composition.

In emulsion composition A, the proportion of the emulsifier relative tothe oil component is, for example, about 0.1 to about 150 wt %,preferably about 0.5 to about 125 wt %, more preferably about 1 to about100 wt %. The emulsifier is often used in a proportion of generallyabout 1 to about 15 wt %, particularly about 1 to about 10 wt %,relative to the oil component.

Water to be used in emulsion composition A is not particularly limitedas long as it is acceptable as a pharmaceutical product and, forexample, purified water, water for injection (distilled water forinjection) and the like can be mentioned. For production of a productother than pharmaceutical products, water is not particularly limited.

The amount of water in emulsion composition A to be used is generallyabout 40 to about 99% (W/V), preferably about 55 to about 98.8% (W/V),relative to the whole composition.

Emulsion composition A can be prepared by mixing a dispersion phasecomponent comprising compound A (main drug), an oil component and anemulsifier with water and emulsifying the mixture and a buffer may beadded to an aqueous phase before emulsification, or may be added to theemulsion composition after emulsification. Where necessary, additivessuch as a stabilizer to improve the stability of the aforementioned maindrug, an isotonicity agent to control the osmotic pressure, an emulsionaid to improve the emulsifying power, an emulsion stabilizer to improvestability of emulsifier and the like may be added.

Examples of the stabilizer include antioxidants (e.g., ascorbic acid,tocopherol, sorbic acid, retinol etc.), chelating agents (e.g., edeticacid, citric acid, tartaric acid etc., and salts thereof) and the like.The amount of the stabilizer to be used is generally about 0.00001 toabout 10% (W/V), preferably about 0.0001 to about 5% (W/V), relative tothe whole emulsion composition A.

An isotonicity agent contains, for example, glycerol, sugar alcohol,monosaccharides, disaccharides, amino acid, dextran, albumin and thelike. These isotonicity agents can be used alone or in a mixture of twoor more kinds thereof.

Examples of the emulsion aid include fatty acid having a carbon numberof about 6 to 30, salts of such fatty acid, monoglycerides of theaforementioned fatty acid and the like. The aforementioned fatty acidincludes, for example, caproic acid, capric acid, caprylic acid, lauricacid, myristic acid, palmitic acid, stearic acid, behenic acid,palmitoleic acid, oleic acid, linoleic acid, arachidonic acid,eicosapentanoic acid, docosahexaenoic acid and the like, and salts offatty acid include, for example, alkali metal salts such as sodium salt,potassium salt and the like, calcium salt and the like.

As the emulsion stabilizer, for example, cholesterol, cholesteryl ester,tocopherol, albumin, fatty acid amide derivative, polysaccharides, fattyacid ester derivative of polysaccharides and the like can be used.

While the concentration of compound A in emulsion composition A variesdepending on the pharmacological activity or blood kinetics of thecompound, it is generally about 0.001 to about 5% (W/V), preferablyabout 0.01 to about 2% (W/V), more preferably about 0.1 to about 1.5%(W/V). In addition, the content of compound A in emulsion composition Acan also be set to about 1 to about 5000 mg, preferably about 10 toabout 2000 mg, more preferably about 100 to about 1500 mg, in 100 ml ofthe composition. In addition, the content of compound A can also beadjusted to about 0.001 to about 95 wt %, preferably about 0.01 to about30 wt %, more preferably about 0.1 to about 3 wt %, relative to thewhole composition.

The proportion (wt %) of compound A relative to the dispersion phaseconsisting of an oil component and an emulsifier is generally about0.0047 to about 24%, preferably about 0.047 to about 9.4%.

Emulsion composition A is adjusted to pH about 3.7 to about 5.5,preferably about 3.7 to about 5.0, more preferably about 4.0 to about5.0.

As a pH adjuster, for example, phosphoric acid, carbonic acid, citricacid, hydrochloric acid, sodium hydroxide and the like are used andhydrochloric acid, sodium hydroxide and the like are particularlypreferable.

As the aforementioned buffer, any pharmaceutically acceptable buffer canbe used. For example, a buffer containing acetic acid, glacial aceticacid, lactic acid, citric acid, phosphoric acid, carbonic acid,histidine, glycine, barbital, phthalic acid, adipic acid, ascorbic acid,maleic acid, succinic acid, tartaric acid, glutamic acid, benzoic acid,aspartic acid and a salt thereof (e.g., potassium, sodium etc.),specifically sodium acetate, sodium lactate, sodium citrate, disodiumhydrogen phosphate, sodium dihydrogen phosphate, sodium carbonate,sodium hydrogen carbonate, hydrochloric acid, sodium hydroxide and thelike as a constituent component is preferable. Moreover, respectivebuffers may be used in combination. Particularly, one or more buffersselected from acetate buffer, glacial acetate buffer, lactate buffer,citrate buffer and phosphate buffer are preferable.

As the buffer, (i) a combination of acetic acid or glacial acetic acidand sodium acetate (acetate buffer or glacial acetate buffer), or (ii) acombination of lactic acid and sodium lactate (lactate buffer), and thelike are preferable.

The concentration of the buffer is generally not more than about 100 mM,specifically about 0.1 mM to about 100 mM, preferably about 0.2 mM toabout 50 mM, more preferably about 5 mM to about 40 mM.

The pH adjuster is an acidic or alkaline compound to be added to adjustthe pH of a solution to a desired pH.

The amount of the pH adjuster to be generally added to an injection istrace. The amount of sodium hydroxide as a pH adjuster in a fattyemulsion commercially available in Japan is often not more than about0.5 mM. While the pH can be adjusted to a desired pH during preparingthe solution, the pH of the solution easily changes by the addition ofan acid or alkali, and maintenance of pH is difficult.

The buffer is a compound having an action to reduce changes in pH onaddition of acid or alkali, namely, a bufferizing action. In many cases,it is a mixed solution of a weak acid and a salt thereof, or a weak baseand a salt thereof.

By addition of a buffer, emulsion composition A is not influenced by thedevelopment of free fatty acid, and can maintain a constant pH of anemulsion composition during high-pressure vapor sterilization andlong-term preservation.

The amount of the buffer to be used for general injections is the aim ofbufferizing action. For example, the amount of an acetate buffer in asolution injection commercially available in Japan is about 0.2 mM toabout 100 mM.

Emulsion composition A is preferably used, for example, as a compositionfor injection.

Emulsion composition A can be basically produced by a known method or amethod according thereto. Particularly, while a conventionally usedemulsion technique can be utilized for the emulsion, compound A ispreferably dissolved or dispersed in advance in an oil component. To beprecise, a composition containing an O/W type or S/O/W type emulsion canbe produced by dispersing a mixture of dispersion phase (1) containingan oil component and an emulsifier, and compound A (2) in water. Thebuffer may be added to an aqueous phase before emulsification, or addedto an emulsion after emulsification during production.

The more preferable method includes, for example, a method of preparingan oil-in-water type composition comprising homogenizing anunhomogeneous mixture of a mixture of the main drug, an oil component,an emulsifier and, where necessary, an additive such as isotonicityagent and the like, and water containing a buffer using an emulsifyingmachine to give a crude emulsion, adding water as necessary, furtherhomogenizing the emulsion using the above-mentioned emulsifying machine,and removing large particles by a filtration means such as a filter andthe like. The aforementioned mixture is often warmed to a temperatureof, for example, about 30 to about 90° C., preferably about 40 to about80° C., to dissolve or disperse the main drug. As the emulsifyingmachine to emulsify an unhomogeneous mixture of the aforementionedmixture and water, conventionally used apparatuses, for example,homogenizers such as a pressurization injection type homogenizer,ultrasonication homogenizer and the like, homomixers such as high-speedrotation type mixer and the like, and the like can be used. To removelarge particles having a particle size of not less than about 5 μm,homogenized emulsion is often subjected to a filtration means such as afilter and the like.

In emulsion composition A, the particle size distribution of adispersion phase, wherein compound A is dissolved, is, for example,often about 0.01 to about 7 μm, preferably about 0.02 to about 5 μm.From the aspects of the stability of the emulsion and distribution inthe body after administration, the mean particle size of the dispersionphase particles, wherein compound A is dissolved, is for example, about0.025 to about 0.7 μm, more preferably about 0.05 to about 0.4 μm.

The mean particle size used in the present specification means a meanparticle size based on the volume distribution and measured by a laserdiffraction particle size distribution measurement apparatus, with thelaser diffraction•scattering method as a measurement principle.

Pyrogen can be removed from emulsion composition A by a method known perse.

Where necessary, after nitrogen gas substitution, emulsion composition Ais sterilized and tightly sealed.

Since pH of emulsion composition A is adjusted to about 3.7 to about 5.5by adding a buffer, pH of the composition and mean particle size of thedispersion phase particles hardly change even after sterilization by anautoclave etc. or after long-term preservation, and the composition isstable. Therefore, the stability of compound A and emulsion compositionA is superior. Moreover, emulsion composition A is free of a visiblyobserved free oil drop even after sterilization by an autoclave etc. orafter long-term preservation, and therefore, phase separation ofdispersion phase particles and water wherein the dispersion phaseparticles are dispersed does not occur, and the composition is stable.

Furthermore, emulsion composition A can increase the concentration ofcompound A, and control the particle size of the dispersion phaseparticles. Thus, it can enhance retentivity in blood, blood vesselpermeability and transitivity into inflammation site. Therefore, in vivokinetics or distribution in the body of compound A can be improved andtargeting becomes possible, as a result of which administration of aneffective drug with suppressed side effects becomes possible.Accordingly, emulsion composition A is particularly useful for thetreatment of a target disease by an intravenous administration.

Compound A can also be used in combination with other drugs thatsuppress side effects of the anti-cancer agents, such as antidepressants(e.g., amitriptyline, imipramine, clomipramine, desipramine, doxepin,nortriptyline, duloxetine, milnacipran, fluoxetine, paroxetine,sertraline, citalopram), anticonvulsants (e.g., carbamazepine,pregabalin, gabapentin, lamotrigine, phenyloin, valproic acid),antiphlogistic analgesics (e.g., loxoprofen sodium, naproxen,indomethacin, ketoprofen, ibuprofen, diclofenac, celecoxib,acetaminophen, acetylsalicylic acid), adrenal cortex hormones (e.g.,dexamethasone, prednisone), narcotics (e.g., morphine, oxycodone,fentanyl, methadone, codeine, tramadol), local anesthetics (Mexiletine,tocamide, lidocaine), alpha-2-adrenergic agonist (clonidine), herbalmedicines (e.g., goshajinkigan, kanzoto), vitamins and the like.

The administration period, dose and administration mode of compound Aand other drugs that suppress side effects of the anti-cancer agents arenot limited, and can be appropriately determined in consideration of theage, body weight and symptom of the administration subject, dosage form,administration method, kind of side effect, combination of drugs and thelike.

EXAMPLES

The present invention is explained in detail in the following byreferring to Reference Examples and Experimental Examples, which are notto be construed as limitative.

The ¹H-NMR spectrum was measured using tetramethylsilane as the internalstandard and a Varian Mercury 300 (300 MHz) or Varian Gemini 200 (200MHz) spectrometer, and total 6 value was shown in ppm. In mixedsolvents, the numerical values shown in parentheses are volume mixingratio of each solvent. Unless particularly specified, % means weightpercent. The ratio of solvents in silica gel chromatography is a volumeratio of the solvents to be mixed.

High polar diastereomer means a diastereomer having a smaller Rf valuewhen Rf values of normal phase thin layer chromatography under the sameconditions (e.g., ethyl acetate/hexane and the like can be used as thesolvent) are compared, and low polar diastereomer means a diastereomerhaving a larger Rf value.

The following compounds of Reference Example A can be produced accordingto the Examples of WO99/46242. In Reference Example A, an opticallyactive compound can be produced according to the Examples of WO02/32859.For example, compound 72 can be produced according to Examples 1 and 2or Examples 3 and 4 of WO02/32859.

Reference Example A

-   (compound 1) ethyl    6-[N-(4-chloro-2-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 2) ethyl    6-[N-(4-chloro-2-fluorophenyl)-N-methylsulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 3) ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 4) ethyl    6-[N-(2,6-diisopropylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 5) ethyl    6-[N-(4-nitrophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 6) ethyl 6-(N-phenylsulfamoyl)-1-cyclohexene-1-carboxylate-   (compound 7) ethyl 2-(N-phenylsulfamoyl)-1-cyclohexene-1-carboxylate-   (compound 8) ethyl    2-[N-(4-methoxyphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 9) ethyl    2-[N-(4-chloro-2-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 10) ethyl    6-[N-(2-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 11) ethyl    6-[N-(3-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 12) ethyl    6-[N-(4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 13) ethyl    6-[N-(2,6-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 14) ethyl    6-[N-(2,3-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 15) ethyl    6-[N-(2,5-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 16) ethyl    6-[N-(3,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 17) ethyl    6-[N-(3,5-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 18) ethyl    2-[N-(4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 19) 1-ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 20) d-ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 21) ethyl    6-[N-(2-ethoxycarbonylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 22) methyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 23) propyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 24) methyl    6-[N-(4-chloro-2-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 25) isopropyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 26) ethyl    6-[N-(2-methoxycarbonylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 27) ethyl    6-[N-(2-fluoro-4-methylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 28) ethyl    6-[N-(2-chlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 29) ethyl    6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 30) ethyl    6-[N-(4-chlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 31) ethyl    6-[N-(2,3,4-trifluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 32) isobutyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 33) butyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 34) ethyl    6-[N-(4-bromo-2-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 35) ethyl    6-[N-(2,4-dichlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 36) ethyl    6-[N-(2-acetoxyphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 37) ethyl    6-[N-(3-chlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 38) ethyl    6-[N-(2,3-dichlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 39) ethyl    6-[N-(2-ethylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 40) ethyl    6-[N-[4-(2H-1,2,3-triazol-2-yl)phenyl]sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 41) ethyl    6-[N-(2,5-dichlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 42) ethyl    6-[N-(2-trifluoromethoxyphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 43) ethyl    6-[N-(2,4,5-trifluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 44) ethyl    6-[N-[4-(2H-tetrazol-2-yl)phenyl]sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 45) ethyl    6-[N-(2-chloro-4-methylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 46) ethyl    6-[N-(4-fluoro-2-methylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 47) ethyl    6-[N-(2,6-dichlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 48) ethyl    6-[N-[4-(1H-tetrazol-1-yl)phenyl]sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 49) ethyl    6-[N-(4-(1H-1,2,3-triazol-1-yl)phenyl]sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 50) ethyl    6-[N-(2-trifluoromethylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 51) ethyl    6-[N-(4-methoxycarbonylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 52) benzyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 53) ethyl    6-[N-[4-[2,3-bis(tert-butoxycarbonyl)guanidinomethyl]phenyl]sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 54) ethyl    6-[N-(2-chloro-4-methoxycarbonylphenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 55) ethyl    6-[N-(2-chloro-4-cyanophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 56) 2-hydroxyethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 57) ethyl    6-[N-[2-fluoro-4-(1H-1,2,4-triazol-1-yl)phenyl]sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 58) ethyl    5-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclopentene-1-carboxylate-   (compound 59) tert-butyl    [6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexen-1-yl]carbonyloxyacetate-   (compound 60)    [6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexen-1-yl]carbonyloxyacetic    acid-   (compound 61) ethyl    7-[N-(2,4-difluorophenyl)sulfamoyl]-1-cycloheptene-1-carboxylate-   (compound 62) ethyl    6-[N-[2-chloro-4-(N-tert-butoxycarbonylmethylcarbamoyl)phenyl]sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 63) ethyl    6-[N-[2-chloro-4-(N-ethoxycarbonylmethylcarbamoyl)phenyl]sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 64) ethyl    5-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclopentene-1-carboxylate-   (compound 65) ethyl    7-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cycloheptene-1-carboxylate-   (compound 66) ethyl    2-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclopentene-1-carboxylate-   (compound 67)    2-(4-methoxyphenyl)-4,5,6,7-tetrahydro-1,2-benzoisothiazol-3(2H)-one    1,1-dioxide-   (compound 68)    2-(4-fluorophenyl)-4,5,6,7-tetrahydro-1,2-benzisothiazol-3(2H)-one    1,1-dioxide-   (compound 69)    2-[4-(2,2,3,3,3-pentafluoropropoxy)phenyl]-4,5,6,7-tetrahydro-1,2-benzisothiazol-3(2H)-one    1,1-dioxide-   (compound 70)    2-(2,4-difluorophenyl)-5,6,7,7a-tetrahydro-1,2-benzoisothiazol-3(2H)-one    1,1-dioxide-   (compound 71) ethyl    (6S)-6-[(2-chloro-4-fluoroanilino)sulfonyl]-1-cyclohexene-1-carboxylate    (also referred to as “1-ethyl    6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate”)-   (compound 72) ethyl    (6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate    (also referred to as “ethyl    (6R)-6-[(2-chloro-4-fluoroanilino)sulfonyl]-1-cyclohexene-1-carboxylate”)-   (compound 73) ethyl    6-[N-(2-bromo-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 74) ethyl    6-[N-(4-bromo-2-chlorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate-   (compound 75) high polar diastereomer of ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-3-phenyl-1-cyclohexene-1-carboxylate    high polar diastereomer-   (compound 76) low polar diastereomer of ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-3-phenyl-1-cyclohexene-1-carboxylate-   (compound 75) high polar diastereomer of ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-3-phenyl-1-cyclohexene-1-carboxylate-   (compound 76) low polar diastereomer of ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-3-phenyl-1-cyclohexene-1-carboxylate-   (compound 77) high polar diastereomer of ethyl    6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3-phenyl-1-cyclohexene-1-carboxylate-   (compound 78) low polar diastereomer of ethyl    6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3-phenyl-1-cyclohexene-1-carboxylate-   (compound 79) high polar diastereomer of ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-3-tert-butyl-1-cyclohexene-1-carboxylate-   (compound 80) low polar diastereomer of ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-3-tert-butyl-1-cyclohexene-1-carboxylate-   (compound 81) high polar diastereomer of ethyl    6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3-tert-butyl-1-cyclohexene-1-carboxylate-   (compound 82) low polar diastereomer of ethyl    6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3-tert-butyl-1-cyclohexene-1-carboxylate-   (compound 83) ethyl    6-[N-(2,4-difluorophenyl)sulfamoyl]-3,3-dimethyl-1-cyclohexene-1-carboxylate-   (compound 84) ethyl    6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,3-dimethyl-1-cyclohexene-1-carboxylate-   (compound 85) ethyl    3-bromo-6-[N-(2,4-difluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylate

The chemical structural formulas of compounds 1-85 are shown in Table1-Table 12.

TABLE 1

Compound No. R¹ R² Ar n 1 C₂H₅ H

2 2 C₂H₅ CH₃

2 3 C₂H₅ H

2 4 C₂H₅ H

2 5 C₂H₅ H

2 6 C₂H₅ H

2 10  C₂H₅ H

2

TABLE 2 11 C₂H₅ H

2 12 C₂H₅ H

2 13 C₂H₅ H

2 14 C₂H₅ H

2 15 C₂H₅ H

2 16 C₂H₅ H

2 17 C₂H₅ H

2 19 (1-form) C₂H₅ H

2 20 (d-form) C₂H₅ H

2

TABLE 3 21 C₂H₅ H

2 22 CH₃ H

2 23 (CH₂)₂CH₃ H

2 24 CH₃ H

2 25 CH(CH₃)₂ H

2 26 C₂H₅ H

2 27 C₂H₅ H

2 28 C₂H₅ H

2 29 C₂H₅ H

2 30 C₂H₅ H

2

TABLE 4 31 C₂H₅ H

2 32 CH₂CH(CH₃)₂ H

2 33 (CH₂)₃CH₃ H

2 34 C₂H₅ H

2 35 C₂H₅ H

2 36 C₂H₅ H

2 37 C₂H₅ H

2 38 C₂H₅ H

2 39 C₂H₅ H

2 40 C₂H₅ H

2

TABLE 5 41 C₂H₅ H

2 42 C₂H₅ H

2 43 C₂H₅ H

2 44 C₂H₅ H

2 45 C₂H₅ H

2 46 C₂H₅ H

2 47 C₂H₅ H

2 48 C₂H₅ H

2 49 C₂H₅ H

2 50 C₂H₅ H

2

TABLE 6 51 C₂H₅ H

2 52

H

2 53 C₂H₅ H

2 54 C₂H₅ H

2 55 C₂H₅ H

2 56 (CH₂)₂OH H

2 57 C₂H₅ H

2 58 C₂H₅ H

1 59 CH₂COOC(CH₃)₃ H

2 60 CH₂COOH H

2

TABLE 7 61 C₂H₅ H

3 62 C₂H₅ H

2 63 C₂H₅ H

2 64 C₂H₅ H

1 65 C₂H₅ H

3 71 (S-form) C₂H₅ H

2 72 (R-form) C₂H₅ H

2 73 C₂H₅ H

2 74 C₂H₅ H

2

TABLE 8

Compound No. R¹ Ar n 7 C₂H₅

2 8 C₂H₅

2 9 C₂H₅

2 18  C₂H₅

2 66  C₂H₅

1

TABLE 9

Compound No.

Ar 67

68

69

70

TABLE 10

Compound No. R¹ R² R* Ar 75 high polar diastereomer C₂H₅ H

76 low polar diastereomer C₂H₅ H

77 high polar diastereomer C₂H₅ H

78 low polar diastereomer C₂H₅ H

79 high polar diastereomer C₂H₅ H C(CH₃)₃

80 low polar diastereomer C₂H₅ H C(CH₃)₃

81 high polar diastereomer C₂H₅ H C(CH₃)₃

TABLE 11 82 low polar diastereomer C₂H₅ H C(CH₃)₃

85 C₂H₅ H Br

TABLE 12

Compound No . Ar 83

84

Compounds 1′-8′ of the following Reference Example B can be producedaccording to the Examples of WO01/10826. Compound 9′ can be producedaccording to the following Reference Example 1 or Reference Example 2.Compound 10′ can be produced according to the following ReferenceExample 1.

Reference Example B

-   (compound 1′) ethyl 6-(benzylsulfonyl)-1-cyclohexene-1-carboxylate-   (compound 2′) ethyl    6-[(4-methoxybenzyl)sulfonyl]-1-cyclohexene-1-carboxylate-   (compound 3′) ethyl    6-[(2,4-difluorobenzyl)sulfonyl]-1-cyclohexene-1-carboxylate-   (compound 4′) ethyl    6-[(2-chloro-4-fluorobenzyl)sulfonyl]-1-cyclohexene-1-carboxylate-   (compound 5′) ethyl    (−)-6-[(2-chloro-4-fluorobenzyl)sulfonyl]-1-cyclohexene-1-carboxylate-   (compound 6′) ethyl    (+)-6-[(2-chloro-4-fluorobenzyl)sulfonyl]-1-cyclohexene-1-carboxylate-   (compound 7′) ethyl    3-[(2,4-difluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate-   (compound 8′) ethyl    3-[(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate-   (compound 9′) ethyl    (3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate-   (compound 10′) ethyl    (3R)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate

The chemical structural formulas of compounds 1′-10′ are shown in Table13 and Table 14.

TABLE 13

Compound No. Ar^(a) 1′

2′

3′

4′

5′ (−)-form

6′ (+)-form

TABLE 14

Compound No. Ar^(a) 7′

8′

9′ (S-form)

10′ (R-form)

Reference Example 1 production of ethyl(3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate(Reference Example B; compound 9′) and ethyl(3R)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate(Reference Example B; compound 10′)

Ethyl3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate(Reference Example B; compound 8′, 11.4 g) obtained according to Example7 of WO01/10826 was resolved into two kinds of optical isomers by highperformance liquid chromatography (CHIRALCEL OD; eluate:hexane/ethanol/trifluoroacetic acid=80/20/0.01) to give ethyl(3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate(compound 9′, 5.53 g) and ethyl(3R)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate(compound 10′, 5.59 g) each as an oil.

The above-mentioned compound 9′ (4.07 g) was crystallized from a mixedsolution of ethanol and hexane to give colorless powder crystals ofcompound 9′ (3.78 g).

¹H-NMR (CDCl₃) δ: 1.30 (3H, t, J=7.2 Hz), 3.70 (1H, dd, J=13, 3.0 Hz),4.21-4.50 (5H, m), 4.65 (1H, d, J=13 Hz), 6.92-7.15 (4H, m), 7.72 (1H,dd, J=9.3, 5.4 Hz).

elemental analysis value: C₁₄H₁₅ClFNO₅S

Calculated (%): C, 46.22; H, 4.16; N, 3.85

Found (%): C, 46.18; H, 4.02; N, 3.87.

specific optical rotation: +94.30 (c=1.0, in methanol; 20° C.).

The above-mentioned compound 10′ (5.59 g) was crystallized from a mixedsolution of ethanol and hexane to give colorless powder crystals ofcompound 10′ (5.34 g).

¹H-NMR (CDCl₃) δ: 1.30 (3H, t, J=7.0 Hz), 3.70 (1H, dd, J=13, 2.8 Hz),4.19-4.48 (5H, m), 4.65 (1H, d, J=13 Hz), 6.92-7.16 (4H, m), 7.72 (1H,dd, J=9.2, 5.6 Hz).

elemental analysis value: C₁₄H₁₅ClFNO₅S

Calculated (%): C, 46.22; H, 4.16; N, 3.85

Found (%): C, 46.19; H, 3.95; N, 3.84.

specific optical rotation: −96.0° (c=1.0, in methanol; 20° C.).

Reference Example 2 production of ethyl(3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate(Reference Example B; compound 9′) Production of ethyl3-hydroxy-3,6-dihydro-2H-pyran-4-carboxylate

To an aqueous solution (400 mL) of (3R,4S)-tetrahydrofuran-3,4-diol (100g) was added sodium periodate (225 g) at 0° C., and the mixture wasstirred at room temperature for 1 hr. An aqueous solution (50 mL) ofpotassium carbonate (13.2 g) was added at room temperature, and anaqueous solution (100 mL) of ethyl diethylphosphonoacetate (322 g) wasadded dropwise over 2 hr. Then, an aqueous solution (800 mL) ofpotassium carbonate (384 g) was added dropwise over 2 hr. The reactionmixture was stirred at room temperature for 24 hr, and extracted withethyl acetate. The extract was dried over anhydrous magnesium sulfateand the solvent was evaporated under reduced pressure. The residue wasdistilled under reduced pressure (110-130° C./3-4 mmHg) The obtainedcrude product was subjected to silica gel column chromatography(hexane/ethyl acetate=1:1) to give the title compound (66.5 g, 40%) as acolorless liquid.

¹H-NMR (CDCl₃) δ: 1.33 (3H, t, J=7.0 Hz), 2.85 (1H, J=5.0 Hz), 3.67-3.75(1H, m), 3.91-3.98 (1H, m), 4.10-4.45 (5H, m), 7.07 (1H, d, J=2.6 Hz).

Production of ethyl (3R)-3-hydroxy-3,6-dihydro-2H-pyran-4-carboxylate

To a solution (380 mL) of ethyl3-hydroxy-3,6-dihydro-2H-pyran-4-carboxylate (91.2 g) in diisopropylether were added vinyl hexanoate (150 mL) and Lipozyme IM (4.8 g). Thereaction mixture was stirred at 35° C. for 24 hr and the insolublematerial was filtered off. The obtained filtrate was concentrated underreduced pressure. The residue was subjected to silica gel columnchromatography (hexane/ethyl acetate=6:1→1:1) to give the title compound(45.9 g, 50%).

¹H-NMR (CDCl₃) δ: 1.33 (3H, t, J=7.0 Hz), 2.85 (1H, J=5.0 Hz), 3.67-3.75(1H, m), 3.91-3.98 (1H, m), 4.10-4.45 (5H, m), 7.07 (1H, d, J=2.6 Hz).

enantiomeric excess: >99% ee [column: CHIRALCEL OD (manufactured byDAICEL CHEMICAL INDUSTRIES, LTD.), mobile phase:hexane/2-propanol=95/5].

Production of ethyl(3S)-3-(acetylsulfanyl)-3,6-dihydro-2H-pyran-4-carboxylate

Under a nitrogen atmosphere, to a solution (500 mL) of ethyl(3R)-3-hydroxy-3,6-dihydro-2H-pyran-4-carboxylate (23.5 g) intetrahydrofuran was added dropwise N,N-diisopropylethylamine (35.7 mL)at −70° C. Then, methanesulfonyl chloride (13.7 mL) was added dropwise,and the mixture was stirred at −45° C. for 2 hr. The mixture was againcooled to −70° C., N,N-diisopropylethylamine (14.6 mL) and thioaceticacid (35.7 mL) were respectively added, and the mixture was stirred at−45° C. for 2 hr. The reaction mixture was treated with 1N hydrochloricacid (300 mL) and extracted with diisopropyl ether (300 mL×2). Theextract was washed with saturated aqueous sodium hydrogen carbonatesolution (300 mL) and water (300 mL), dried over anhydrous magnesiumsulfate, and concentrated under reduced pressure. The residue wassubjected to silica gel column chromatography (hexane/ethylacetate=6:1→4:1) to give the title compound (19.5 g, 62%).

¹H-NMR (CDCl₃) δ: 1.28 (3H, t, J=7.0 Hz), 2.34 (3H, s), 3.81-4.03 (2H,m), 4.10-4.52 (5H, m), 7.05-7.08 (1H, m).

enantiomeric excess: 98.0% ee [column: CHIRALCEL OD-H (manufactured byDAICEL CHEMICAL INDUSTRIES, LTD.), mobile phase:hexane/2-propanol=90/10].

Production of ethyl (3S)-3-sulfanyl-3,6-dihydro-2H-pyran-4-carboxylate

To a solution (100 mL) of ethyl(3S)-3-(acetylsulfanyl)-3,6-dihydro-2H-pyran-4-carboxylate (19.5 g) inethanol was added dropwise hydrochloric acid-ethanol solution (24% w/w,100 mL) at 0° C. The reaction mixture was stirred at room temperaturefor 40 hr, and cooled to 0° C. Saturated aqueous sodium hydrogencarbonate solution (750 mL) was added dropwise. The reaction mixture wasmaintained at 10° C. or lower, and the final pH was adjusted to 7 to 8.After extraction with ethyl acetate (500 mL×2), the extract was washedwith water (300 mL×2), dried over anhydrous magnesium sulfate, andconcentrated under reduced pressure. The residue was subjected to silicagel column chromatography (hexane/ethyl acetate=5:1) to give the titlecompound (14.5 g, 91%).

¹H-NMR (CDCl₃) δ: 1.32 (3H, t, J=7.2 Hz), 2.23 (1H, d, J=9.6 Hz),3.64-4.48 (7H, m), 6.83-6.86 (1H, m).

enantiomeric excess: 97.2% ee [column: CHIRALPAK AD (manufactured byDAICEL CHEMICAL INDUSTRIES, LTD.), mobile phase:hexane/2-propanol=98/2].

Production of ethyl(3S)-3-{[(2-chloro-4-fluorophenyl)amino]sulfanyl}-3,6-dihydro-2H-pyran-4-carboxylate

To a solution (400 mL) of ethyl(3S)-3-sulfanyl-3,6-dihydro-2H-pyran-4-carboxylate (14.5 g) indichloromethane was added dropwise tert-butyl hypochlorite (10 mL) at−78° C. After stirring for 30 min, 2-chloro-4-fluoroaniline (23 mL) wasadded dropwise at −78° C. The reaction mixture was stirred for 1 hr, andthe reaction was discontinued with 5% aqueous sodium sulfite solution(300 mL). After extraction with dichloromethane (300 mL), the extractwas washed with water, and dried over anhydrous magnesium sulfate. Afterconcentration under reduced pressure, the residue was subjected tosilica gel column chromatography (hexane/ethyl acetate=15:1→5:1) to givethe title compound as a crude product (20.0 g, 96.3% ee). This productwas crystallized from diisopropyl ether/hexane (120 mL, 1:5) to give thetitle compound (12.3 g, 62%) as white crystals.

¹H-NMR (CDCl₃) δ: 1.33 (3H, t, J=7.2 Hz), 3.72-3.79 (2H, m), 4.20-4.46(5H, m), 5.53 (1H, br s), 6.90-7.03 (3H, m), 7.54-7.59 (1H, m).

enantiomeric excess: >99% ee [column: CHIRALPAK AD (manufactured byDAICEL CHEMICAL INDUSTRIES, LTD.), mobile phase:hexane/2-propanol=97.5/2.5].

Production of ethyl(3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylate(compound 9′)

To a solution (200 mL) of ethyl(3S)-3-{[(2-chloro-4-fluorophenyl)amino]sulfanyl}-3,6-dihydro-2H-pyran-4-carboxylate(12.3 g) in ethyl acetate was added meta-chloroperbenzoic acid (24.5 g)at 0° C. After stirring at room temperature for 2 hr, the mixture wasagain cooled to 0° C., and 5% aqueous sodium sulfite solution (200 mL)and saturated aqueous sodium hydrogen carbonate solution (200 mL) wereadded dropwise. After extraction with ethyl acetate (200 mL×2), theextract was washed with saturated aqueous sodium hydrogen carbonatesolution (200 mL) and water (200 mL), and dried over anhydrous magnesiumsulfate. After concentration under reduced pressure, the residue wassubjected to silica gel column chromatography (hexane/ethyl acetate=2:1)to give the title compound as a crude product (13.8 g). This product wascrystallized from ethyl acetate/diisopropyl ether/hexane (115 mL,5:100:10) to give the title compound (12.0 g, 90%).

¹H-NMR (CDCl₃) δ: 1.30 (3H, t, J=7.4 Hz), 3.66-3.74 (1H, m), 4.19-4.48(5H, m), 4.65 (1H, d, J=12.8 Hz), 6.92-7.16 (4H, m), 7.68-7.75 (1H, m).

enantiomeric excess: >99% ee [column: CHIRALCEL OD (manufactured byDAICEL CHEMICAL INDUSTRIES, LTD.), mobile phase:hexane/ethanol/trifluoroacetic acid=80/20/0.1, flow rate: 0.5 mL/min,detection: UV 254 nm, temperature: 30° C.].

Experimental Example 1

Mice (C57BL/6N, male, 7-week-old) were divided into Group A (6 mice),Group B (6 mice), and Group C (6 mice). Group B and Group C wereintraperitoneally administered with paclitaxel (dissolved inethanol:Cremophor EL:saline=0.5:0.5:9; 4 mg/kg body weight). As Group A,non-treated animals were used. Group C was intravenously administeredwith compound 72 (10 mg/kg body weight) of Reference Example A dissolvedin an emulsion containing soybean oil, egg-yolk lecithin, glycerol andthe like immediately before and 1 and 2 weeks after intraperitonealadministration of paclitaxel (total 3 times). Pain threshold of eachgroup was measured 3 weeks after paclitaxel administration to Group Band Group C. Pain threshold is a weighed value (gram) at the time when afalse escape response is observed by pressurizing the plantar part ofthe right hindlimb using a balance type pressing device (Ugo Basile).The results are shown in the following Table 15. The values in the Tableshow mean±standard error of the weighed values.

TABLE 15 Pain threshold (g) Group A 443.3 ± 32.8 Group B 185.0 ± 19.3Group C 441.7 ± 28.6

From the above results, compound A has been shown to have a suppressing(or mitigating) action on neurological symptoms (e.g., dysesthesia suchas numbness, pain and the like) of peripheral nerve disorders induced bypaclitaxel.

Experimental Example 2

Mice (C57BL/6N, male, 8-week-old) were divided into Group A, Group B,and Group C. As Group A, non-treated animals were used. To Group B andGroup C, any one of various anti-cancer agents (docetaxel, vincristine,cisplatin, carboplatin, bortezomib) is diluted with saline to a givenconcentration, and intraperitoneal administered (docetaxel at 3 mg/kgbody weight, vincristine at 0.1 mg/kg body weight, cisplatin at 3 mg/kgbody weight, carboplatin at 40 mg/kg body weight, bortezomib at 0.4mg/kg body weight). Group C was intravenously administered with compound72 (3 mg/kg body weight) of Reference Example A dissolved in an emulsioncontaining soybean oil, egg-yolk lecithin, glycerol and the likeimmediately before intraperitoneal administration of various anti-canceragents. Pain threshold of each group was measured 1 week after theadministration of the anti-cancer agent. Pain threshold is a weighedvalue (gram) at the time when a false escape response is observed bypressurizing the plantar part of the right hindlimb using a balance typepressing device (Ugo Basile). The results are shown in the followingTable 16. The values in the Table show mean±standard error of theweighed values, and n is the number of the mice in each group.

TABLE 16 Pain threshold (g) non-treatment group Group A (n = 6) 365.0 ±17.8  Docetaxel administration group Group B (n = 6) 123.3 ± 8.0   GroupC (n = 6) 276.7 ± 17.4** Vincristine administration group Group B (n =12) 160.8 ± 16.0  Group C (n = 12) 289.2 ± 44.6** Cisplatinadministration group Group B (n = 12) 118.3 ± 6.7   Group C (n = 12)166.7 ± 18.5*  Carboplatin administration group Group B (n = 6) 110.0 ±6.8   Group C (n = 6) 213.3 ± 13.3** Bortezomib administration groupGroup B (n = 6) 126.7 ± 17.6  Group C (n = 6) 306.7 ± 24.0** *p < 0.025,**p < 0.001; t-test

From the above results, compound A has been shown to have a suppressing(or mitigating) action on neurological symptoms (e.g., dysesthesia suchas numbness, pain and the like) of peripheral nerve disorders induced byvarious anti-cancer agents.

Experimental Example 3

Rat (Wistar, male, 5-week-old) were divided into Group A, Group B, andGroup C. As Group A, non-treated animals were used. To Group B and GroupC, paclitaxel is diluted with saline to a given concentration, andintraperitoneally administered at 6 mg/kg body weight for a total of 3times at intervals of 1 to 2 days. Group C was intravenouslyadministered with compound 72 (10 mg/kg body weight) of ReferenceExample A dissolved in an emulsion containing soybean oil, egg-yolklecithin, glycerol and the like immediately before intraperitonealadministration of paclitaxel (total 3 times). Pain threshold of eachgroup was measured 2 weeks after first paclitaxel administration. Painthreshold is a weighed value (gram) at the time when an avoidanceresponse is observed by pressurizing the plantar part of the righthindlimb using an Electronic von Frey (IITC Life Science). The resultsare shown in the following Table 17. The values in the Table showmean±standard error of the weighed values, and n is the number of therats in each group.

TABLE 17 Pain threshold (g) Group A (n = 8) 25.8 ± 0.7 Group B (n = 9)15.4 ± 2.6 Group C (n = 8)  24.9 ± 0.9** **p < 0.001; t-test

From the above results, compound A has been shown to have a suppressing(or mitigating) action on neurological symptoms (e.g., dysesthesia suchas numbness, pain and the like) of peripheral nerve disorders induced bypaclitaxel.

Experimental Example 4

Mice (C57BL/6N, male, 8-week-old) were divided into Group B and Group D.To Group B and Group D, any one of various anti-cancer agents(paclitaxel, docetaxel, vincristine, cisplatin, carboplatin, bortezomib)is diluted with saline to a given concentration, and intraperitoneallyadministered (paclitaxel at mg/kg body weight, docetaxel at 3 mg/kg bodyweight, vincristine at 0.1 mg/kg body weight, cisplatin at 3 mg/kg bodyweight, carboplatin at 40 mg/kg body weight, bortezomib at 0.4 mg/kgbody weight). Group D was intravenously administered with compound 9′ (1mg/kg body weight) of Reference Example B dissolved in solution of Nmethyl-D(−)-glucamine (0.01 mol/L) immediately before intraperitonealadministration of various anti-cancer agents. Pain threshold of eachgroup was measured 3 week after the administration for paclitaxel and 1week after the administration for the anti-cancer agents other thanpaclitaxel. Pain threshold is a weighed value (gram) at the time when afalse escape response is observed by pressurizing the plantar part ofthe right hindlimb using a balance type pressing device (Ugo Basile).The results are shown in the following Table 18. The values in the Tableshow mean±standard error of the weighed values, and n is the number ofthe mice in each group.

TABLE 18 Pain threshold (g) Paclitaxel administration group Group B (n =6) 130.0 ± 13.4  Group D (n = 6) 406.7 ± 61.2** Docetaxel administrationgroup Group B (n = 6) 123.3 ± 8.0   Group D (n = 6) 276.7 ± 38.1**Vincristine administration group Group B (n = 6) 140.0 ± 18.6  Group D(n = 6) 306.7 ± 73.5** Cisplatin administration group Group B (n = 6)113.3 ± 9.9   Group D (n = 6) 193.3 ± 26.2*  Carboplatin administrationgroup Group B (n = 6) 110.0 ± 6.8   Group D (n = 6) 176.7 ± 16.7**Bortezomib administration group Group B (n = 6) 133.3 ± 12.3  Group D (n= 6) 256.7 ± 26.5** *p < 0.025, **p < 0.001; t-test

From the above results, compound A has been shown to have a suppressing(or mitigating) action on neurological symptoms (e.g., dysesthesia suchas numbness, pain and the like) of peripheral nerve disorders induced byvarious anti-cancer agents.

INDUSTRIAL APPLICABILITY

The present invention is useful for suppressing (or mitigating)neurological symptoms (e.g., dysesthesia such as numbness, pain and thelike) of peripheral nerve disorders which are one of the side effectscaused by the administration of an anti-cancer agent. In addition, thepresent invention is useful for avoiding a decrease in the dosage due tothe side effects of the administration of an anti-cancer agent.

This application is based on patent application No. 2010-015935 filed inJapan, the contents of which are encompassed in full herein.

1. A method for suppressing a peripheral nerve disorder induced by ananti-cancer agent, which comprises administering a compound representedby the formula

wherein R is (1) an aliphatic hydrocarbon group optionally havingsubstituent(s), (2) an aromatic hydrocarbon group optionally havingsubstituent(s), (3) a heterocyclic group optionally havingsubstituent(s), (4) a group represented by the formula: —OR¹ wherein R¹is a hydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s), or (5) a group represented by the formula:

wherein R^(1b) and R^(1c) are the same or different and each is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s), R⁰ is a hydrogen atom or an aliphatic hydrocarbon group,or R and R⁰ in combination may form a bond, ring A¹ is a cycloalkeneoptionally substituted by 1 to 4 substituents selected from the groupconsisting of (i) an aliphatic hydrocarbon group optionally havingsubstituent(s), (ii) an aromatic hydrocarbon group optionally havingsubstituent(s), (iii) a group represented by the formula: —OR¹¹ whereinR¹¹ is a hydrogen atom or an aliphatic hydrocarbon group optionallyhaving substituent(s), and (iv) a halogen atom, Ar is an aromatichydrocarbon group optionally having substituent(s), a group representedby the formula:

is a group represented by the formula:

and n is an integer of 1 to 4, or a salt thereof or a prodrug thereof,or a compound represented by the formula (II):

wherein R^(1′) is (1) an aliphatic hydrocarbon group optionally havingsubstituent(s), (2) an aromatic hydrocarbon group optionally havingsubstituent(s), (3) a heterocyclic group optionally havingsubstituent(s), (4) a group represented by the formula: —OR^(1a′)wherein R^(1a′) is a hydrogen atom or an aliphatic hydrocarbon groupoptionally having substituent(s), or (5) a group represented by theformula:

wherein R^(1b′) and R^(1c′) are the same or different and each is ahydrogen atom or an aliphatic hydrocarbon group optionally havingsubstituent(s), X is methylene, NH, a sulfur atom or an oxygen atom, Yis methylene optionally having substituent(s) or NH optionally havingsubstituent(s), ring A′ is a 5- to 8-membered ring optionally having 1to 4 substituents selected from the group consisting of (i) an aliphatichydrocarbon group optionally having substituent(s), (ii) an aromatichydrocarbon group optionally having substituent(s), (iii) a grouprepresented by the formula: —OR^(2′) wherein R^(2′) is a hydrogen atomor an aliphatic hydrocarbon group optionally having substituent(s), and(iv) a halogen atom, Ar′ is an aromatic hydrocarbon group optionallyhaving substituent(s), a group represented by the formula:

is a group represented by the formula:

s is an integer of 0 to 2, t is an integer of 1 to 3, and the total of sand t is 4 or less; provided that when X is methylene, then Y should bemethylene optionally having substituent(s), or a salt thereof or aprodrug thereof, to a mammal in need thereof.
 2. A method forsuppressing a peripheral nerve disorder induced by an anti-cancer agent,which comprises administering which comprises administering a compoundrepresented by the formula (III):

wherein R^(1aa) is C₁₋₆ alkyl, X^(aa) is methylene or an oxygen atom,and Ar^(aa) is phenyl optionally having 1 or 2 substituents selectedfrom a halogen atom, C₁₋₆ alkyl and C₁₋₆ alkoxy, or a salt thereof or aprodrug thereof, to a mammal in need thereof.
 3. The agent methodaccording to claim 1 wherein the compound is, wherein the compound isethyl(6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylateor a salt thereof or a prodrug thereof.
 4. The agent method according toclaim 1 wherein the compound is, wherein the compound is ethyl(3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylateor a salt thereof or a prodrug thereof.
 5. The agent method according toclaim 1, wherein the anti-cancer agent is selected from paclitaxel,docetaxel, vincristine, cisplatin, carboplatin and bortezomib.
 6. Themethod according to claim 5, wherein the anti-cancer agent ispaclitaxel.
 7. The method according to claim 1, wherein the anti-canceragent is selected from paclitaxel, docetaxel, vincristine, vinblastine,cisplatin, carboplatin, oxaliplatin and bortezomib.
 8. The methodaccording to claim 1, wherein the compound is ethyl(−)-6-[(2-chloro-4-fluorobenzyl)sulfonyl]-1-cyclohexene-1-carboxylate ora salt thereof or a prodrug thereof.
 9. The method according to claim 1,wherein the compound is ethyl(t)-6-[(2-chloro-4-fluorobenzyl)sulfonyl]-1-cyclohexene-2-carboxylate ora salt thereof or a prodrug thereof.
 10. The method according to claim1, wherein the anti-cancer agent is selected from taxane anti-canceragents, vinca alkaloid anti-cancer agents, platinum preparations andmolecular targeted drugs.
 11. The method according to claim 10, whereinthe taxane anti-cancer agent is selected from paclitaxel and docetaxel.12. The method according to claim 10, wherein the vinca alkaloidanti-cancer agent is selected from vincristine and vinblastine.
 13. Themethod according to claim 10, wherein the platinum preparation isselected from cisplatin, carboplatin and oxaliplatin.
 14. The methodaccording to claim 10, wherein the molecular targeted drug isbortezomib.
 15. The method according to claim 1, wherein the dosage formof the compound is subcutaneous injection, intravenous injection,intramuscular injection, intraperitoneal injection or drip infusion. 16.The method according to claim 1, wherein the compound and theanti-cancer agent are administered to the mammal simultaneously or in astaggered manner.
 17. The method according to claim 1, wherein thecompound is used in combination with other drugs that suppress sideeffects of the anti-cancer agent.
 18. The method according to claim 17,wherein the other drug is selected from pregabalin, gabapentin andmorphine.
 19. The method according to claim 2, wherein the compound isethyl(6R)-6-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-1-cyclohexene-1-carboxylateor a salt thereof or a prodrug thereof.
 20. The method according toclaim 2, wherein the compound is ethyl(3S)-3-[N-(2-chloro-4-fluorophenyl)sulfamoyl]-3,6-dihydro-2H-pyran-4-carboxylateor a salt thereof or a prodrug thereof.
 21. The method according toclaim 2, wherein the anti-cancer agent is selected from paclitaxel,docetaxel, vincristine, cisplatin, carboplatin and bortezomib.
 22. Themethod according to claim 21, wherein the anti-cancer agent ispaclitaxel.
 23. The method according to claim 2, wherein the anti-canceragent is selected from paclitaxel, docetaxel, vincristine, vinblastine,cisplatin, carboplatin, oxaliplatin and bortezomib.
 24. The methodaccording to claim 2, wherein the anti-cancer agent is selected fromtaxane anti-cancer agents, vinca alkaloid anti-cancer agents, platinumpreparations and molecular targeted drugs.
 25. The method according toclaim 24, wherein the taxane anti-cancer agent is selected frompaclitaxel and docetaxel.
 26. The method according to claim 24, whereinthe vinca alkaloid anti-cancer agent is selected from vincristine andvinblastine.
 27. The method according to claim 24, wherein the platinumpreparation is selected from cisplatin, carboplatin and oxaliplatin. 28.The method according to claim 24, wherein the molecular targeted drug isbortezomib.
 29. The method according to claim 2, wherein the dosage formof the compound is subcutaneous injection, intravenous injection,intramuscular injection, intraperitoneal injection or drip infusion. 30.The method according to claim 2, wherein the compound and theanti-cancer agent are administered to the mammal simultaneously or in astaggered manner.
 31. The method according to claim 2, wherein thecompound is used in combination with other drugs that suppress sideeffects of the anti-cancer agent.
 32. The method according to claim 31,wherein the other drug is selected from pregabalin, gabapentin andmorphine.